Individual
MAI OTSUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 542-4603
(503) 233-6093
Mailing address
1855 DEANA DR, WEST LINN, OR 97068-4824
(971) 340-6104
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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