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1144317199
TRACY SIMMONS BRUNDAGE
PORTLAND, OR
NPI
1144317199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: OR 1018030)
Enumeration Date
2006-10-09
Last Update Date
2007-07-08
Business Address
TRACY SIMMONS BRUNDAGE OT
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 800-452-3563
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Mailing Address
TRACY SIMMONS BRUNDAGE OT
2922 SE 54TH AVE
PORTLAND, OR 97206-2142
Phone number:
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