Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johanka Stavenik, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1174939524

Johanka Stavenik, OTR/L is a Gerontology Occupational Therapist in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5701 SW Multnomah Blvd
Portland, OR 97219-3195
Phone: (503) 244-1107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X

Record details

NPI number1174939524
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJuly 7, 2014
Last updated in NPPESJuly 7, 2014

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