Provider Demographics
NPI:1740423664
Name:BUI, OANH T (OTD)
Entity Type:Individual
Prefix:
First Name:OANH
Middle Name:T
Last Name:BUI
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 CROSS ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-2924
Mailing Address - Country:US
Mailing Address - Phone:503-339-7781
Mailing Address - Fax:503-991-5355
Practice Address - Street 1:1180 CROSS ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-2924
Practice Address - Country:US
Practice Address - Phone:503-339-7781
Practice Address - Fax:503-991-5355
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR238216225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist