Provider Demographics
NPI:1598877680
Name:BUZAID, ANN M (OTR/L)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:M
Last Name:BUZAID
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:M
Other - Last Name:GROFFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:507 NE 47TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2236
Mailing Address - Country:US
Mailing Address - Phone:503-215-6488
Mailing Address - Fax:206-598-0516
Practice Address - Street 1:507 NE 47TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2236
Practice Address - Country:US
Practice Address - Phone:503-215-6488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XP0019X
WAOT00001567225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist