IndividualActive
Luke Depner, OTR/L
NPI 1942740246 · Neurorehabilitation Occupational Therapist · Portland, OR
Provider details
- NPI number
- 1942740246
- Entity type
- Individual
- Primary specialty
- Neurorehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 384046 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Phone: (503) 292-0765
Approximate (ZIP-level) locationGet directions
Mailing address
715 Se 33rd Pl
Portland, OR 97214-3184
Registry dates
- Enumerated
- 2017-03-06
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.