Provider Demographics
NPI:1376010090
Name:BREZINSKI, MEREDITH RAE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:RAE
Last Name:BREZINSKI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:RAE
Other - Last Name:ORNDORFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3728
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-3728
Mailing Address - Country:US
Mailing Address - Phone:503-753-1537
Mailing Address - Fax:503-573-8004
Practice Address - Street 1:18019 SW BOONES FERRY ROAD
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224
Practice Address - Country:US
Practice Address - Phone:503-753-1537
Practice Address - Fax:503-573-8004
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR627332251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic