Individual
MARYANN GARCIA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2730 SW MOODY AVENUE, PORTLAND, OR 97201-4307
(360) 936-5509
Mailing address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(360) 936-5509
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
P1 60201170
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
07/22/2024
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