IndividualActive
Kaycie Blanshan, COTA/L
NPI 1962001172 · Environmental Modification Occupational Therapy Assistant · Lebanon, OR
Provider details
- NPI number
- 1962001172
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 348968 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
350 S 8th St
Lebanon, OR 97355-2242
Phone: (541) 259-1221
Approximate (ZIP-level) locationGet directions
Mailing address
25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697
Registry dates
- Enumerated
- 2020-10-19
- Last updated
- 2020-10-19
- Certified
- 2020-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.