NPI 1114396470
Theresa Riedel
Practice location
- Address
- 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697
- Phone
- (541) 654-2914
- Mailing address
- 260 Woodlane Dr, Springfield, OR 97477-2208
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1114396470
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Sep 2015
- Record last updated
- 16 Sep 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.