Individual
NATHAN GIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6530 SW 30TH AVE, A, PORTLAND, OR 97239-1007
(503) 244-7533
Mailing address
6530 SW 30TH AVE, PORTLAND, OR 97239-1007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
343023
OR
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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