Individual
BRANDIE ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7204 SW DURHAM ROAD, SUITE 100, PORTLAND, OR 97224-7574
(503) 941-9869
(503) 352-5555
Mailing address
7204 SW DURHAM ROAD, SUITE 100, PORTLAND, OR 97224-7574
(503) 941-9869
(503) 352-5555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1066780
OR
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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