Individual
TRISTAN MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
700 SW CAMPUS DR, PORTLAND, OR 97239-3107
(503) 494-8311
Mailing address
807 JEFFERSON ST APT 215, VANCOUVER, WA 98660-3701
(951) 963-4604
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
512673
OR
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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