Individual
MONICA MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5920 NE RAY CIR, SUITE 160, HILLSBORO, OR 97124-6429
(503) 844-9294
(503) 615-0212
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500726619
—
OR
01
—
R194320
MEDICARE
OR
01
—
R195538
MEDICARE
OR
Enumeration date
05/12/2017
Last updated
07/21/2022
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