| Andrea Rae Icenogle, | |
|
663 Sw 175th Pl, Beaverton, OR 97006-7909 | |
| (503) 997-8954 | |
| Not Available |
| Full Name | Andrea Rae Icenogle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 663 Sw 175th Pl, Beaverton, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982939179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 241705 (Oregon) | Primary |
| 225X00000X | Occupational Therapist | 4434 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Rae Icenogle, 663 Sw 175th Pl, Beaverton, OR 97006-7909 Ph: (503) 997-8954 | Andrea Rae Icenogle, 663 Sw 175th Pl, Beaverton, OR 97006-7909 Ph: (503) 997-8954 |
Christine-elise Ligan Tolfo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9400 Sw Beaverton Hillsdale Hwy Ste 210, Beaverton, OR 97005 Phone: 916-346-8555 | |
Marie Trevisan, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton Hillsdale Hwy Ste 560, Beaverton, OR 97005 Phone: 503-773-8646 | |
Katherine Louise Hotz, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1975 Nw 167th Pl, Suite 100-23, Beaverton, OR 97006 Phone: 971-255-3132 Fax: 971-228-2777 | |
Andrea Jaden Prasil, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8285 Sw Nimbus Ave Ste 174, Beaverton, OR 97008 Phone: 503-579-7327 | |
Ms. Cynthia Harris Coughlin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11850 Sw Allen Blvd, Beaverton, OR 97005 Phone: 503-646-7164 | |
Madeline Buck, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4865 Sw 150th Pl, Beaverton, OR 97007 Phone: 385-261-4700 | |
Rebecca Wynn, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1815 Nw 169th Pl Ste 3070, Beaverton, OR 97006 Phone: 971-249-2653 Fax: 503-747-4373 |