Individual provider · Type 1 NPI

Stacy Lynn Medina, OTR/L

Occupational Therapist · Oregon City, OR

NPI number 1154639516 Active

Practice location

1680 Molalla Ave.
Oregon City, OR 97045

Fax (503) 655-8791

Mailing address

4560 SE International Way, Ste. 100
Milwaukie, OR 97222

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X259914 (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 1154639516

Stacy Lynn Medina, OTR/L's National Provider Identifier is 1154639516, issued on Sep 20, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Oregon City, OR. The record was last updated on Sep 20, 2010.