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Individual

NYI THUTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11854 SE POWELL BLVD APT 10, PORTLAND, OR 97266-1662
(310) 910-2085
Mailing address
11854 SE POWELL BLVD APT 10, PORTLAND, OR 97266-1662
(310) 910-2085

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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