Provider Demographics
NPI:1851679757
Name:GARBER, AMANDA LITTLEWOOD (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LITTLEWOOD
Last Name:GARBER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:LITTLEWOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4201 NE 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661
Mailing Address - Country:US
Mailing Address - Phone:360-885-4684
Mailing Address - Fax:360-882-8972
Practice Address - Street 1:4444 SW MULTNOMAH BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219
Practice Address - Country:US
Practice Address - Phone:503-245-5639
Practice Address - Fax:360-882-8972
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR285404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist