Individual
MRS. DEEDRA MARIE WEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5200 S MACADAM AVE STE 120, PORTLAND, OR 97239-3843
(971) 800-0847
(855) 564-1809
Mailing address
4739 SW 53RD AVE, PORTLAND, OR 97221-1905
(971) 800-0847
(855) 564-1809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1058877
OR
225XP0200X
Pediatric Occupational Therapist
1058877
OR
Other
Enumeration date
04/13/2006
Last updated
11/12/2025
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