Individual
MAI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-3202
Mailing address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-3202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4793
OR
Other
Enumeration date
05/25/2006
Last updated
12/31/2021
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