Most Relevant Information
Provider Data
| NPI Number: | 1003669292 |
| Provider Name: | OLIVIA AHO DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 65252 |
Most Important Dates
| Enumeration Date: | 04/08/2024 |
| Last Updated: | 04/08/2024 |
Provider Practice Location
2808 E BURNSIDE ST
PORTLAND
OR
972141830
Practice Location Phone/Fax
| Phone: | 5034474802 |
| Fax: |
Provider Mailing Location
2808 E BURNSIDE ST
PORTLAND
OR
972141830
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |