Provider Demographics
NPI:1669441515
Name:MURRAY, JULIA KAORU (OT)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:KAORU
Last Name:MURRAY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 IRONWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-1619
Mailing Address - Country:US
Mailing Address - Phone:503-363-6558
Mailing Address - Fax:
Practice Address - Street 1:EDIS, NAF MISAWA, BDLG 95 UNIT 5048
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96319
Practice Address - Country:JP
Practice Address - Phone:888-888-8888
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR96958225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist