Provider Demographics
NPI:1346677853
Name:FURLOTTE, CLAIRE
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:FURLOTTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 FIRCREST CT SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-1336
Mailing Address - Country:US
Mailing Address - Phone:503-858-7451
Mailing Address - Fax:
Practice Address - Street 1:1023 6TH AVE SW
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-1917
Practice Address - Country:US
Practice Address - Phone:541-926-8664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-28
Last Update Date:2013-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist