White, Miriam Krisitiyahna

White, Miriam Krisitiyahna is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Ste 125 , Tualatin OR 97062-7745. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. White, Miriam Krisitiyahna can be contacted via phone (503) 692-1670.

Contact Information

Primary practice address
19250 Sw 65Th Ave Ste 125 Tualatin OR 97062-7745
Phone: (503) 692-1670
Fax: (503) 692-1669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 278883 Oregon

Profile Details

NPI number 1639402027
LBN Legal business name White, Miriam Krisitiyahna
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Mar 10th, 2015 - about 10 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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