| Sukanta Richard Nelson, OTD, OTR/L | |
|
1805 Se 61st Ct, Hillsboro, OR 97123-2919 | |
| (503) 778-0354 | |
| Not Available |
| Full Name | Sukanta Richard Nelson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1805 Se 61st Ct, Hillsboro, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396567228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 523004 (Oregon) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376272732 PECOS PAC ID: 6507832573 Enrollment ID: O20220801001861 |
| Mailing Address | Practice Location Address |
|---|---|
| Sukanta Richard Nelson, OTD, OTR/L 1805 Se 61st Ct, Hillsboro, OR 97123-2919 Ph: (503) 778-0354 | Sukanta Richard Nelson, OTD, OTR/L 1805 Se 61st Ct, Hillsboro, OR 97123-2919 Ph: (503) 778-0354 |
Rachel Rosenbaum, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2405 Se Century Blvd, Hillsboro, OR 97123 Phone: 503-259-3913 | |
Mrs. Lisa Robinson Ogden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Se 8th Ave, Hillsboro, OR 97123 Phone: 503-681-1050 | |
Erin Franke, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5289 Ne Elam Young Pkwy Ste 140, Hillsboro, OR 97124 Phone: 503-747-5359 | |
Juliet Paul Naone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 759 Se Washington St, Hillsboro, OR 97123 Phone: 503-213-1700 | |
Jessica Eggers, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2875 Nw Stucki Ave, Hillsboro, OR 97124 Phone: 971-310-1000 | |
Hilary Servatius, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 341 Se 3rd Ave, Hillsboro, OR 97123 Phone: 503-596-2163 | |
Dr. Erin Marie Fox, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2875 Ne Stucki Ave, Hillsboro, OR 97124 Phone: 971-310-1000 |