Individual
TYLEUR JANEL KOTZIAN-UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17943 SW CORRAL CREEK RD, NEWBERG, OR 97132-9310
(503) 860-0109
Mailing address
17943 SW CORRAL CREEK RD, NEWBERG, OR 97132-9310
(503) 860-0109
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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