Individual
BETTY RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-6059
Mailing address
2623 NE WASCO ST, PORTLAND, OR 97232-1740
(503) 860-3238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
185710
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185710
OREGON OT LICENSE
OR
Enumeration date
08/24/2018
Last updated
08/24/2018
About Stedi
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