Individual
KYLE PALADENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 724-0378
Mailing address
1748 NW FAIRVIEW DR, GRESHAM, OR 97030-3842
(503) 724-0378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18013
OR
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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