Provider Demographics
NPI:1588826333
Name:WINFIELD, DAWNAH (COTA)
Entity Type:Individual
Prefix:
First Name:DAWNAH
Middle Name:
Last Name:WINFIELD
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:SANDRAH
Other - Middle Name:ANN
Other - Last Name:BEBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4515 SUNNYSIDE RD SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-3928
Mailing Address - Country:US
Mailing Address - Phone:503-570-8284
Mailing Address - Fax:503-566-8595
Practice Address - Street 1:4515 SUNNYSIDE RD SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-3928
Practice Address - Country:US
Practice Address - Phone:503-570-8284
Practice Address - Fax:503-566-8595
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3276224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant