Individual
MYONGSUK BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25291 SW LABROUSSE RD, SHERWOOD, OR 97140-8807
(503) 970-1422
Mailing address
25291 SW LABROUSSE RD, SHERWOOD, OR 97140-8807
(503) 970-1422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1008994
OR
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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