Individual
KYLIE BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
5208 NE 122ND AVE, PORTLAND, OR 97230-1074
(971) 378-3570
Mailing address
5208 NE 122ND AVE, PORTLAND, OR 97230-1074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18822
OR
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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