Nathaniel Nazareno Baniqued, OTD, OTR/L

NPI #1093298705 in Hillsboro, Oregon

Provider Information

NPI Number: 1093298705
Entity Type: Individual
Name: Nathaniel Nazareno Baniqued, OTD, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTD, OTR/L
Enumeration Date: Sep 9, 2018
Last Updated: Nov 9, 2023

Practice Location

Address: 5825 NE RAY CIR
City: Hillsboro
State: Oregon
ZIP Code: 97124-6436
Phone: (503) 614-1428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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