Provider Demographics
NPI:1821506130
Name:PRATT, SARAH JEAN (OTD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:PRATT
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-2241
Mailing Address - Country:US
Mailing Address - Phone:503-657-8903
Mailing Address - Fax:503-266-8632
Practice Address - Street 1:610 HIGH ST
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2241
Practice Address - Country:US
Practice Address - Phone:503-657-8903
Practice Address - Fax:503-266-8632
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-21
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
367849225X00000X
OR367849225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR367849OtherOREGON OCCUPATIONAL THERAPY LICENSING BOARD
367849OtherTHE NATIONAL BOARD OF CERTIFICATION IN OCCUPATIONAL THERAPY ( NBCOT)
OR367849OtherOREGON OCCUPATIONAL THERAPY LICENSING BOARD