Provider Demographics
NPI:1922989961
Name:KERNS, VIRGINIA ANN (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ANN
Last Name:KERNS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5722 NE 10TH AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-3718
Mailing Address - Country:US
Mailing Address - Phone:541-377-0272
Mailing Address - Fax:
Practice Address - Street 1:13413 NE LEROY HAGEN MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-5967
Practice Address - Country:US
Practice Address - Phone:360-604-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT.OT.70006519225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics