Most Relevant Information
Provider Data
| NPI Number: | 1003648825 |
| Provider Name: | DINA MUQTAR |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2024 |
| Last Updated: | 08/19/2024 |
Provider Practice Location
825 NE 20TH AVE STE 320
PORTLAND
OR
972322275
Practice Location Phone/Fax
| Phone: | 9714296321 |
| Fax: | 5039617237 |
Provider Mailing Location
825 NE 20TH AVE STE 320
PORTLAND
OR
972322275
Provider Mailing Phone/Fax
| Phone: | 9714296321 |
| Fax: | 5039617237 |