Brodersen, Debra

Brodersen, Debra is an sole proprietor health care provider with primary practice located at 4560 Se International Way , Milwaukie OR 97222-4628. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Brodersen, Debra can be contacted via phone (971) 206-5102.

Contact Information

Primary practice address
4560 Se International Way Milwaukie OR 97222-4628
Phone: (971) 206-5102
Fax: (971) 206-5211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OTA1878 California

Profile Details

NPI number 1730502527
LBN Legal business name Brodersen, Debra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2014
Last updated Jan 29th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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