Provider Demographics
NPI:1497755599
Name:HAND CENTER OF OREGON INC
Entity Type:Organization
Organization Name:HAND CENTER OF OREGON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:FELICITA
Authorized Official - Last Name:PLOGHOFT
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR CHT
Authorized Official - Phone:503-692-5210
Mailing Address - Street 1:19365 SW 65TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-9196
Mailing Address - Country:US
Mailing Address - Phone:503-692-5210
Mailing Address - Fax:503-692-8821
Practice Address - Street 1:19365 SW 65TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-9196
Practice Address - Country:US
Practice Address - Phone:503-692-5210
Practice Address - Fax:503-692-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR05-01490225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORCJ8840OtherRAILROAD
ORCJ8840OtherRAILROAD
OR5422910001Medicare NSC