Individual
AVERY AARON BROCKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
8285 SW NIMBUS AVE STE 174, BEAVERTON, OR 97008-6447
(503) 579-7327
Mailing address
423 NW UPTOWN TER UNIT 2B, PORTLAND, OR 97210-5558
(605) 760-1074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
537257
OR
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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