Diedra M Pine, MOT
Diedra M Pine, MOT is a Pediatric Occupational Therapist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2007.
- Licensed in
- OR
- In the registry since
- 2007
Practice location Address checks out
1675 SW Marlow Ave Ste 200Portland, OR 97225-5102
Phone: (503) 802-5261
Fax: (503) 905-6159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 01060048 (OR) |
|---|
Record details
| NPI number | 1942321104 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | April 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
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