Individual provider · Type 1 NPI

Avery Aaron Brockberg, OTD, OTR/L

Occupational Therapist · Beaverton, OR

NPI number 1801773361 Active

Practice location

8285 SW Nimbus Ave Ste 174
Beaverton, OR 97008-6447

Mailing address

423 NW Uptown Ter Unit 2B
Portland, OR 97210-5558

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X537257 (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 1801773361

Avery Aaron Brockberg, OTD, OTR/L's National Provider Identifier is 1801773361, issued on Aug 18, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Beaverton, OR. The record was last updated on Aug 18, 2025.