Individual
MARCHOND GARDELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 SW CHELTENHAM ST APT 18, PORTLAND, OR 97239-7021
(503) 810-0763
Mailing address
1332 SW CHELTENHAM ST APT 18, PORTLAND, OR 97239-7021
(503) 810-0763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
LP2679
OR
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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