Individual
JAIDAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7203 SE RAYMOND ST, PORTLAND, OR 97206-4323
(503) 895-1320
Mailing address
16285 BARLOW DR, OREGON CITY, OR 97045-7235
(503) 358-3462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
490406
OR
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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