Individual
MARISA BRICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
707 SW GAINES STREET, CDRC LEND, PORTLAND, OR 97239
(516) 456-3994
Mailing address
3414 SW 11TH AVE, UNIT 8, PORTLAND, OR 97239-2952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2568
CO
Other
Enumeration date
09/08/2010
Last updated
10/15/2011
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