Individual
MISS AI NAKAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 SE PARK CREST AVENUE, VANCOUVER, WA 98684
(360) 260-2200
(310) 323-1570
Mailing address
3717 NW 12TH AVE, CAMAS, WA 98607-7985
(425) 931-6098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60206072
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2010
Last updated
08/21/2020
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