Provider Demographics
NPI:1295202737
Name:DAHUYAG, FAYE (OT)
Entity Type:Individual
Prefix:
First Name:FAYE
Middle Name:
Last Name:DAHUYAG
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 NW FLANDERS ST STE G1
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3441
Mailing Address - Country:US
Mailing Address - Phone:503-224-9270
Mailing Address - Fax:503-224-9271
Practice Address - Street 1:2330 NW FLANDERS ST STE G1
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3441
Practice Address - Country:US
Practice Address - Phone:503-224-9270
Practice Address - Fax:503-224-9271
Is Sole Proprietor?:No
Enumeration Date:2018-11-01
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR411127225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand