Individual
DANE LUM HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10215 SW PARK WAY STE D, PORTLAND, OR 97225-5036
(503) 292-3583
Mailing address
1059 SW 162ND AVE, BEAVERTON, OR 97006-5494
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10064
OR
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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