Individual
THAO MY DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
396688
OR
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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