TABITA LUCA FOGHIS

PORTLAND, OR
NPI1124612833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
TABITA LUCA FOGHIS
812 SE 48TH AVE
PORTLAND, OR 97215-1724
Phone number: 503-231-7170
Mailing Address
TABITA LUCA FOGHIS
2645 SW WILLOW PKWY
GRESHAM, OR 97080-9563
Phone number:
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