Individual
KAYLIN WINDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13500 SW PACIFIC HWY, TIGARD, OR 97223-4804
(503) 624-0713
Mailing address
13500 SW PACIFIC HWY, TIGARD, OR 97223-4804
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI-0011230
OR
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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