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NPI Code Detail

MEDICARE: LINDA BERNADETTE BRIGHT OTR

MEDICARE: LINDA BERNADETTE BRIGHT OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2874OR

General Provider Information

NPI Number : 1578893194
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA BERNADETTE BRIGHT OTR
Provider Business Mailing Address
First Line : 14645 SW FARMINGTON RD
Second Line :
City : BEAVERTON
State : OR
Zip : 97007-2727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14645 SW FARMINGTON RD
Second Line :
City : BEAVERTON
State : OR
Zip : 97007-2727
Country : US
Telephone Number : 503-643-8626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2010
Last Update Date : 01/04/2010

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Directions to “ LINDA BERNADETTE BRIGHT OTR” Practice Location

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