Individual
MARYAM MALEKPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DROT
Contact information
Practice address
14145 SW 105TH AVE, TIGARD, OR 97224-4808
(503) 726-7312
Mailing address
12369 SW AMES LN, TIGARD, OR 97224-2822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
265047
OR
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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