Individual provider · Type 1 NPI

Andrew John Mundt-Fettkether

Occupational Therapist · Portland, OR

NPI number 1114564481 Active

Practice location

5330 NE Prescott St
Portland, OR 97218-2158

Call (503) 288-6585 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X413330 (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 1114564481

Andrew John Mundt-Fettkether's National Provider Identifier is 1114564481, issued on Dec 5, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Portland, OR. The record was last updated on Dec 5, 2019.