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Individual

KACIE MARIE KUSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6800 SW 105TH AVE STE 101, BEAVERTON, OR 97008-5488
(971) 200-1966
(971) 754-4141
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 722-3877
(503) 387-5653

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/31/2021
Last updated
03/03/2026
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