NPI Registry.org

Jamison Keith Carroll

NPI Registration Record

Provider / OrganizationNPIDate Certified
JAMISON KEITH CARROLL15680525952022-10-02

Jamison Keith Carroll is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568052595. Registration indicates Jamison Keith Carroll is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist) (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)

Entity TypeIndividual
Provider NameMr. Jamison Keith Carroll OTR/L
Practice Office Address8995 SW MILEY RD
WILSONVILLE, OR US
Practice Office Telephone5036948366
Practice Office Fax5036948581
Mailing Address11683 SW TEAL BLVD APT M
BEAVERTON, OR 970077969 US
Business Telephone4352136134
Offices / Locations
AddressCity / StatePhone / Fax
11683 SW Teal Blvd Apt M Beaverton, OR 970077969 4352136134
2217 Country Club Rd Woodburn, OR 970712811 5039824200 / 5039812323
HPT Codes
CodePractice
License No
State
225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Occupational Therapist

Speech/Occupational/Physical Therapy/Chiropractor

Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
OTH-008360
AZ
225X00000X PRIMARY
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Occupational Therapist

Speech/Occupational/Physical Therapy/Chiropractor

Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
447328
OR
OPI Codes
1568052595 MEDICAID OR
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