IndividualActive
Lily Gullion, MS, OTR/L
NPI 1790268779 · Pediatric Occupational Therapist · Portland, OR
Provider details
- NPI number
- 1790268779
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 407739 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
707 Sw Gaines St
Portland, OR 97239-2901
Phone: (503) 346-0640
Approximate (ZIP-level) locationGet directions
Mailing address
3211 Sw 10th Ave Apt 402
Portland, OR 97239-7317
Registry dates
- Enumerated
- 2018-09-14
- Last updated
- 2018-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.