Individual
MR. TAMMAM EL KHODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5129
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 100 CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01046781
OR
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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