IndividualActive
Bonnie Carlson, OTR/L
NPI 1093041709 · Pediatric Occupational Therapist · Tualatin, OR
Provider details
- NPI number
- 1093041709
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 424176 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
19250 Sw 65th Ave
Suite 125
Tualatin, OR 97062-7452
Phone: (503) 692-1670
Fax: (503) 692-1669
Approximate (ZIP-level) locationGet directions
Mailing address
19250 Sw 65th Ave
Tualatin, OR 97062-7452
Registry dates
- Enumerated
- 2009-10-30
- Last updated
- 2009-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.