Provider Demographics
NPI:1639912942
Name:SANDERS, CATHY ARLENE (OTR/L)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:ARLENE
Last Name:SANDERS
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 1:1131 SW MARIETTA LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-1215
Mailing Address - Country:US
Mailing Address - Phone:503-881-1642
Mailing Address - Fax:
Practice Address - Street 1:1131 SW MARIETTA LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-1215
Practice Address - Country:US
Practice Address - Phone:503-881-1642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR597503225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology