Individual provider · Type 1 NPI

Jessica Fong, OTR/L

Specialist · Milwaukie, OR

NPI number 1912358409 Active

Practice location

4560 SE International Way Ste 100
Milwaukie, OR 97222-4628

Call (971) 206-5200 Map

Mailing address

4560 SE International Way
Portland, OR 97222-4628

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1912358409

Jessica Fong, OTR/L's National Provider Identifier is 1912358409, issued on Jun 25, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Milwaukie, OR. The record was last updated on Jan 4, 2017.