Individual provider · Type 1 NPI

Nicole Elledge, OTR

Occupational Therapist · Lake Oswego, OR

NPI number 1003075417 Active

Practice location

3900 Kruse Way Pl
Lake Oswego, OR 97035-2512

Call (503) 607-0566 Map

Mailing address

23532 SW Stonehaven St
Sherwood, OR 97140-7076

Other practice locations

  • 1900 Fulton St, Newberg, OR 97132-1806 · (503) 538-2108

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1060547 (OR)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

2 other providers at this address

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About NPI 1003075417

Nicole Elledge, OTR's National Provider Identifier is 1003075417, issued on Jun 2, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Lake Oswego, OR. The record was last updated on May 6, 2022.