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Individual

CARLI TEDFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2895 SE POWELL VALLEY RD, GRESHAM, OR 97080-1492
(503) 667-9330
Mailing address
9119 N MCKENNA AVE, PORTLAND, OR 97203-2649
(662) 322-2769

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
364791
OR

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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