Provider Demographics
NPI:1336418656
Name:KLAVER, KARINA O'CONNOR (MSOTR/L)
Entity type:Individual
Prefix:MS
First Name:KARINA
Middle Name:O'CONNOR
Last Name:KLAVER
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19369 SEMINOLE CIR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-8940
Mailing Address - Country:US
Mailing Address - Phone:541-678-1174
Mailing Address - Fax:
Practice Address - Street 1:19539 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1938
Practice Address - Country:US
Practice Address - Phone:541-678-1174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR283397225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist