Provider Demographics
NPI:1699377267
Name:SHMAYS, CHLOE ANN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CHLOE
Middle Name:ANN
Last Name:SHMAYS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 SE 42ND AVE UNIT 420
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97215-2490
Mailing Address - Country:US
Mailing Address - Phone:608-377-3767
Mailing Address - Fax:
Practice Address - Street 1:910 SE 42ND AVE UNIT 420
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97215-2490
Practice Address - Country:US
Practice Address - Phone:608-377-3767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR396627225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics