Individual
ALAN DE MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED OCCUPATION
Contact information
Practice address
4560 SE INTERNATIONAL WAY, CENSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA466
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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