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Contact Information

TYLER ICHIKI, OTR/L
24076 SE STARK ST STE 210
GRESHAM, OR97030-3376
 Phone: 503-491-1666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TYLER ICHIKI · (Male)

NPI # 1902625825
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 10/08/2024
Last updated 10/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 505784
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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