Individual
MEREDITH EDEN BROCKRIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20 SE 103RD AVE, PORTLAND, OR 97216-2866
(971) 364-0611
Mailing address
25195 SW PARKWAY AVE STE 205, WILSONVILLE, OR 97070-9689
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
403778
OR
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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