IndividualActive
Tiffany Waterson
NPI 1508183898 · Physical Rehabilitation Occupational Therapist · Portland, OR
Provider details
- NPI number
- 1508183898
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- OT-2586 (ME)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2335 Se Pine St
Portland, OR 97214-1641
Phone: (207) 240-1565
Approximate (ZIP-level) locationGet directions
Mailing address
23 Purchase St
Rockland, ME 04841-2731
Registry dates
- Enumerated
- 2010-04-26
- Last updated
- 2024-06-07
- Certified
- 2024-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.