Individual
DR. BRENT STEVEN WARONIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
6530 SW 30TH AVE, PORTLAND, OR 97239-1007
(503) 244-7533
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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