Individual
THERESA RIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(541) 654-2914
Mailing address
260 WOODLANE DR, SPRINGFIELD, OR 97477-2208
(541) 654-2914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
333895
OR
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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