Individual
LINDSAY MEREDITH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 SE 28TH AVE, PORTLAND, OR 97202
(530) 921-2151
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
288997
OR
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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