IndividualActive
Kristia Halverson, OTR/L
NPI 1639415516 · Pediatric Occupational Therapist · Portland, OR
Provider details
- NPI number
- 1639415516
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 297586 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5200 Sw Macadam Ave
Ste 100
Portland, OR 97239-6103
Phone: (503) 224-1998
Approximate (ZIP-level) locationGet directions
Mailing address
5200 Sw Macadam Ave
Portland, OR 97239-6103
Registry dates
- Enumerated
- 2012-12-20
- Last updated
- 2013-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.