Individual provider · Type 1 NPI

Campbell Mikush, OT

Occupational Therapist · Portland, OR

NPI number 1093134603 Active

Practice location

1675 SW Marlow Ave Ste 200
Portland, OR 97225-5102

Call (503) 228-6479 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X324129 (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…

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About NPI 1093134603

Campbell Mikush, OT's National Provider Identifier is 1093134603, issued on Apr 10, 2014. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Portland, OR. The record was last updated on Jul 27, 2015.