Active NPIIndividual provider

Mr. Jamison K Carroll, OTR/L

Occupational Therapist in Portland, Oregon

NPI Number1568052595
Practice location
9370 SW Greenburg RD, Portland, OR 97223-5442
Fax
—
Last updated
February 21, 2023

Mr. Jamison K Carroll, OTR/L is a Occupational Therapist based in Portland, OR. Mr. Jamison K Carroll, OTR/L holds the professional credentials of OTR/L. The NPI number for Mr. Jamison K Carroll, OTR/L is 1568052595 and holds license No. 447328 (OR). The current practice location address is 9370 SW Greenburg RD, Portland, OR 97223-5442 and the office can be reached by phone at 503-200-5750. The NPI was assigned on January 23, 2021 and the record was last updated in NPPES on February 21, 2023.

●Provider Profile Details

NPI Number
1568052595
Provider Name
Jamison Keith Carroll
Credential
OTR/L
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Enumeration Date
January 23, 2021
Last Update Date
February 21, 2023
Certification Date
February 21, 2023
NPI Status
Active

◉Business Practice Location Address

Address
9370 SW Greenburg RD
Portland, OR 97223-5442
State
Oregon
ZIP
97223-5442
Country
US
Phone Number
503-200-5750

Get directions →

✉Business Mailing Address

Address
11683 SW Teal Blvd Apt M
Beaverton, OR 97007-7969
City
Beaverton
State
OR
ZIP
97007-7969
Phone Number
435-213-6134

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Occupational Therapist225X00000XYes447328OR
Occupational Therapist225X00000XNoOTH-008360AZ

#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 Mr. Jamison K Carroll, OTR/L?

The NPI number of Mr. Jamison K Carroll, OTR/L is 1568052595. It was assigned on January 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Jamison K Carroll, OTR/L?

Mr. Jamison K Carroll, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X) and holds license No. 447328 (OR).

Where does Mr. Jamison K Carroll, OTR/L practice?

The practice location is 9370 SW Greenburg RD, Portland, OR 97223-5442. The office can be reached at 503-200-5750 (phone).

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 1568052595 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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