Individual
LY TIEU-PYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-5360
(503) 885-7362
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010548
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8491383
—
WA
01
—
P00748167
RAILROAD MEDICARE
WA
Enumeration date
07/25/2007
Last updated
03/19/2026
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