Individual
EDIE BERGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
748 HAWTHORNE AVE NE, SALEM, OR 97301-4675
(503) 926-4299
Mailing address
1943 ARITHMETIC DR SE, SALEM, OR 97302-1914
(503) 990-1458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3739
OR
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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