TRACY SIMMONS BRUNDAGE

PORTLAND, OR
NPI1144317199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: OR  1018030)
Enumeration Date2006-10-09
Last Update Date2007-07-08
Business Address
TRACY SIMMONS BRUNDAGE OT
707 SW GAINES ST
PORTLAND, OR 97239-2901
Phone number: 800-452-3563
Mailing Address
TRACY SIMMONS BRUNDAGE OT
2922 SE 54TH AVE
PORTLAND, OR 97206-2142
Phone number:
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