MEDICARE: HAND CENTER OF OREGON INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	05-01490	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CJ8840	OTHER	OR	RAILROAD

General Provider Information

NPI Number	:	1497755599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND CENTER OF OREGON INC

Provider Business Mailing Address
First Line	:	19365 SW 65TH AVE STE 200
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-9196
Country	:	US
Telephone Number	:	503-692-5210
Fax Number	:	503-692-8821

Provider Business Practice Location Address
First Line	:	19365 SW 65TH AVE STE 200
Second Line	:
City	:	TUALATIN
State	:	OR
Zip	:	97062-9196
Country	:	US
Telephone Number	:	503-692-5210
Fax Number	:	503-692-8821

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANITA FELICITA PLOGHOFT
Credential	:	MS OTR CHT
Telephone Number	:	503-692-5210

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	12/19/2007

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Directions to “HAND CENTER OF OREGON INC ” Practice Location

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