Provider Demographics
NPI:1326759861
Name:DEMING, KRISTEN HALEY (OT)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:HALEY
Last Name:DEMING
Suffix:
Gender:
Credentials:OT
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:H
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L
Mailing Address - Street 1:14100 WILL CLAYTON PKWY APT 14102
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4783
Mailing Address - Country:US
Mailing Address - Phone:832-454-7075
Mailing Address - Fax:541-756-6234
Practice Address - Street 1:1890 WAITE ST STE 1
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OR
Practice Address - Zip Code:97459-1229
Practice Address - Country:US
Practice Address - Phone:541-756-6232
Practice Address - Fax:541-756-6234
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR484833225X00000X
AL6388225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty