OUR SPOT FOR KIDS, LLC; NPI #1407520596

Contact Information

OUR SPOT FOR KIDS, LLC

2411 19TH AVE
FOREST GROVE, OR 97116-2895

Phone: 321-412-5018
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for OUR SPOT FOR KIDS, LLC

NPI #	`1407520596`
LBN Legal business name	OUR SPOT FOR KIDS, LLC
Authorized official	MANDY BOWDOIN - (OWNER/OCCUPATIONAL THERAPIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/03/2021
Last updated	08/03/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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