Individual provider · Type 1 NPI

Autumn Jessica Carroll, OTR/L

Occupational Therapist · Portland, OR

NPI number 1871691014 Active

Practice location

2701 NW Vaughn St
Portland, OR 97210-5311

Call (503) 721-6800 Map

Mailing address

2114 N Sumner St
Portland, OR 97217-3831

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1034600 (OR)
Occupational Therapist 225X00000XOT00004159 (WA)

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 1871691014

Autumn Jessica Carroll, OTR/L's National Provider Identifier is 1871691014, issued on Sep 20, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Portland, OR. The record was last updated on Jul 15, 2010.