Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mars Vine-Harding De Ponte, OCCUPATIONALTHERAPI

Individual provider Occupational Therapist · NPI 1770797169

Mars Vine-Harding De Ponte, OCCUPATIONALTHERAPI is an Occupational Therapist in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2007.

Licensed in
OR, WA
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

1007 SE 12th Ave
Portland, OR 97214-2512
Phone: (206) 240-5956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 1035920 (OR)
Occupational Therapist Taxonomy 225X00000X · Licence OT 00003150 (WA)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence 1035920 (OR)

Record details

NPI number1770797169
Entity typeIndividual (Type 1)
GenderMale
Credentials OCCUPATIONALTHERAPI
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESSeptember 17, 2018

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