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Individual

SERENA BADGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
19365 SW 65TH AVE STE 200, TUALATIN, OR 97062-9196
(503) 692-5210
(503) 692-8821
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(509) 710-4875

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
461750
OR

Other

Enumeration date
01/06/2021
Last updated
05/04/2022
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