Individual provider · Type 1 NPI

Tracy Simmons Brundage, OT

Occupational Therapist · Portland, OR

NPI number 1144317199 Active

Practice location

707 SW Gaines St
Portland, OR 97239-2901

Call (800) 452-3563 Map

Mailing address

2922 SE 54th Ave
Portland, OR 97206-2142

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1018030 (OR)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1144317199

Tracy Simmons Brundage, OT's National Provider Identifier is 1144317199, issued on Oct 9, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.