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NPI 1073397360

OrganizationActive

Marie Trevisan, LLC

NPI 1073397360 · Mental Health Occupational Therapist · Portland, OR

Provider details

NPI number: 1073397360
Entity type: Organization
Primary specialty: Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Organization subpart: No
Authorized official: Marie Trevisan, Owner(208) 882-6736

Specialties & taxonomies

Mental Health Occupational TherapistPrimary225XM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Practice location

2833 Se 45th Ave Unit B

Portland, OR 97206-1615

Phone: (208) 882-6736

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

2833 Se 45th Ave Unit B

Portland, OR 97206-1615

Other names (DBA / former)

Doing business as: Soma Story OT
Doing business as: Soma Story OT

Registry dates

Enumerated: 2023-08-21
Last updated: 2025-11-19
Certified: 2025-11-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Marie Trevisan, LLC — NPI 1073397360, Portland, OR | NPI Central