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Andrea Icenogle
NPI 1982939179 · on the registry since 2009
Practice
- Address
- 663 Sw 175th Pl
Beaverton, OR 97006 - Phone
- (503) 997-8954
Registry record
- Primary taxonomy
- Occupational Therapist
225X00000X
- Also registered as
- Occupational Therapist
- Licence states on file
- OR, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-10-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon