OrganizationActive
Bright Spot Pediatric Therapy LLC
NPI 1033649694 · Pediatric Occupational Therapist · Portland, OR
Provider details
- NPI number
- 1033649694
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Moskal, Owner(503) 850-8154
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1425 N Killingsworth St
Portland, OR 97217-4541
Phone: (503) 575-9402
Fax: (888) 769-4431
Approximate (ZIP-level) locationGet directions
Mailing address
1425 N Killingsworth St
Portland, OR 97217-4541
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2022-01-03
- Certified
- 2022-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.