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Contact Information

KLYN H DOHERTY, OTR, CHT
2330 NW FLANDERS ST
STE G-1
PORTLAND, OR97210-3442
 Phone: 503-224-9270
 Fax: 503-224-9271
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KLYN H DOHERTY · (Female)

NPI # 1659354231
Status Active
Credentials OTR, CHT
Entity Individual
Enumeration date 11/28/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 914557
  • OR Medicaid 230523
  • WA Medicaid 8419913
  • WA Other 140196 WA L&I
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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