IndividualActive
Matthew Stahl, OT
NPI 1730582909 · Gerontology Occupational Therapist · Wilsonville, OR
Provider details
- NPI number
- 1730582909
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4480 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone: (707) 337-7468
Approximate (ZIP-level) locationGet directions
Mailing address
548 Danby Ct
Petaluma, CA 94954-8508
Registry dates
- Enumerated
- 2014-10-02
- Last updated
- 2014-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.