Most Relevant Information
Provider Data
| NPI Number: | 1003428889 |
| Provider Name: | PIDO TRAN MAAS OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 435560 |
Most Important Dates
| Enumeration Date: | 08/21/2020 |
| Last Updated: | 10/30/2023 |
Provider Practice Location
9135 SW BARNES RD STE 561
PORTLAND
OR
972256643
Practice Location Phone/Fax
| Phone: | 5032162339 |
| Fax: |
Provider Mailing Location
PO BOX 3158
PORTLAND
OR
972083158
Provider Mailing Phone/Fax
| Phone: | 5032156494 |
| Fax: |