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Supplemental Healthcare

Occupational Therapy Assistant in Tigard, OR · enumerated 2014 · authorized official Devyn Hall, Cota.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619377785

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Registry record

Entity type Organization (Type 2)
Legal business name Supplemental Healthcare
Practice address 7320 Sw Hunziker St Ste 203, Tigard, OR, 97223
Enumeration date Aug 26, 2014
Last updated in NPPES Aug 26, 2014

Taxonomy & classification

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 314621 (OR) Primary

Authorized official

Name Devyn Hall
Title Cota

Other identifiers

Identifier Type State Issuer
314621 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-08-26. Verify at npiregistry.cms.hhs.gov.
Where is Supplemental Healthcare located?
The practice location on file with NPPES is in Tigard, OR.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-26.