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Individual

LAUREN NICOLE GRULKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CLT-LANA

Contact information

Practice address
815 NW 9TH ST STE 180, CORVALLIS, OR 97330-6173
(541) 768-5157
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
432534
OR

Other

Enumeration date
05/04/2021
Last updated
09/04/2025
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