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Contact Information

JILL K BEAUREGARD
6003 SE 136TH AVE
PORTLAND, OR97236-4567
 Phone: 971-978-1268
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for JILL K BEAUREGARD · (Female)

NPI Number 1396496998
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2022
Last updated 01/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 465900
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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