De Ponte, Mars Vine-Harding

De Ponte, Mars Vine-Harding is an individual health care provider with primary practice located at 1007 Se 12Th Ave , Portland OR 97214-2512. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. De Ponte, Mars Vine-Harding can be contacted via phone (206) 240-5956.

Contact Information

Primary practice address
1007 Se 12Th Ave Portland OR 97214-2512
Phone: (206) 240-5956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT 00003150 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 1035920 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1035920 Oregon

Profile Details

NPI number 1770797169
LBN Legal business name De Ponte, Mars Vine-Harding
Credentials OCCUPATIONAL THERAPI
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Sep 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770797169 NPPES
Oregon Other 1035920 OCCUPATIONAL THERAPY LICENSE

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