Individual
RILEY DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-2900
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
250748
OR
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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