Individual
PIDO TRAN MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9135 SW BARNES RD STE 561, PORTLAND, OR 97225-6643
(503) 216-2339
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
435560
OR
Other
Enumeration date
08/21/2020
Last updated
10/30/2023
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