NICOLE ELLEDGE

LAKE OSWEGO, OR
NPI1003075417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1060547)
Enumeration Date2008-06-02
Last Update Date2022-05-06
Business Address
NICOLE ELLEDGE OTR
3900 KRUSE WAY PL
LAKE OSWEGO, OR 97035-2512
Phone number: 503-607-0566
Mailing Address
NICOLE ELLEDGE OTR
23532 SW STONEHAVEN ST
SHERWOOD, OR 97140-7076
Phone number: 971-732-2991
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