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

Individual provider Occupational Therapist · NPI 1871691014

Mrs. Autumn Jessica Carroll, OTR/L is an Occupational Therapist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
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

2701 NW Vaughn St
Portland, OR 97210-5311
Phone: (503) 721-6800
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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 1034600 (OR)
Occupational Therapist Taxonomy 225X00000X · Licence OT00004159 (WA)

Record details

NPI number1871691014
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 15, 2010

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