Active NPIIndividual provider

Kelsy M Bakken, COTA

Occupational Therapy Assistant in Salem, Oregon

NPI Number1215116637
Practice location
290 Moyer Ln NW, Salem, OR 97304-3822
Fax
503-363-4214
Last updated
November 1, 2007

Kelsy M Bakken, COTA is a Occupational Therapy Assistant based in Salem, OR. Kelsy M Bakken, COTA holds the professional credentials of COTA. The NPI number for Kelsy M Bakken, COTA is 1215116637 and holds license No. 233451 (OR). The current practice location address is 290 Moyer Ln NW, Salem, OR 97304-3822 and the office can be reached by phone at 503-370-8990 and by fax at 503-363-4214. The NPI was assigned on November 1, 2007 and the record was last updated in NPPES on November 1, 2007.

●Provider Profile Details

NPI Number
1215116637
Provider Name
Kelsy Marie Bakken
Credential
COTA
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Enumeration Date
November 1, 2007
Last Update Date
November 1, 2007
NPI Status
Active

◉Business Practice Location Address

Address
290 Moyer Ln NW
Salem, OR 97304-3822
City
Salem
State
Oregon
ZIP
97304-3822
Country
US
Phone Number
503-370-8990
Fax Number
503-363-4214

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✉Business Mailing Address

Address
8669 SW Holly St
#110
Wilsonville, OR 97070-8628
City
Wilsonville
State
OR
ZIP
97070-8628
Phone Number
608-445-1166

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Occupational Therapy Assistant224Z00000XYes233451OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Kelsy M Bakken, COTA?

The NPI number of Kelsy M Bakken, COTA is 1215116637. It was assigned on November 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Kelsy M Bakken, COTA?

Kelsy M Bakken, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X) and holds license No. 233451 (OR).

Where does Kelsy M Bakken, COTA practice?

The practice location is 290 Moyer Ln NW, Salem, OR 97304-3822. The office can be reached at 503-370-8990 (phone) or 503-363-4214 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215116637 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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