Nicole Elledge, OTR
NPI #1003075417 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1003075417
- Entity Type
- Individual
- Name
- Nicole Elledge, OTR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR
- Enumeration Date
- Jun 2, 2008
- Last Updated
- May 6, 2022
Practice Location
- Address
- 3900 KRUSE WAY PL
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-2512
- Phone
- (503) 607-0566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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