Provider Demographics
NPI:1942949201
Name:SUNGA, JOSHUA RAMON SOTTO (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA RAMON
Middle Name:SOTTO
Last Name:SUNGA
Suffix:
Gender:M
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 1:7265 SE TAMARACK ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-3950
Mailing Address - Country:US
Mailing Address - Phone:503-332-7968
Mailing Address - Fax:
Practice Address - Street 1:7265 SE TAMARACK ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-3950
Practice Address - Country:US
Practice Address - Phone:503-332-7968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist