Individual
JULIA S EDIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16100 SW CENTURY DR, 112, SHERWOOD, OR 97140-8674
(808) 728-1524
Mailing address
4550 CARMAN DR, LAKE OSWEGO, OR 97035-2520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
LP2536
OR
Other
Enumeration date
07/11/2011
Last updated
04/07/2012
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