Organization
BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER PIDKOWICZ OTR/L (PRESIDENT)
(661) 714-4178
Entity
Organization
Contact information
Practice address
16200 SW PACIFIC HWY, SUITE H #177, TIGARD, OR 97224
(503) 683-1528
Mailing address
16200 SW PACIFIC HWY, SUITE H #177, TIGARD, OR 97224
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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