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NPI Code Detail

MEDICARE: MS. JULIE A. DROMGOOLE OT

MEDICARE: MS. JULIE A. DROMGOOLE OT
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
1225X00000XOccupational Therapist1048049OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639152101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE A. DROMGOOLE OT
Provider Business Mailing Address
First Line : 72 WHEATHERSTONE
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-1955
Country : US
Telephone Number : 503-329-0292
Fax Number : 503-352-5555
Provider Business Practice Location Address
First Line : 7204 SW DURHAM RD
Second Line : STE 100
City : PORTLAND
State : OR
Zip : 97224-7574
Country : US
Telephone Number : 503-329-0292
Fax Number : 503-352-5555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 08/18/2021

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