Individual
TINA DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16850 SW LEDGESTONE DR, BEAVERTON, OR 97007-5189
(971) 477-8685
Mailing address
16850 SW LEDGESTONE DR, BEAVERTON, OR 97007-5189
(971) 477-8685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
09/23/2025
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