Individual
THAO THANH LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
Mailing address
6740 NE KLICKITAT ST, PORTLAND, OR 97213-5244
(208) 407-3711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
526951
OR
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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