Individual
KAYLEE LYNN NAUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14907 S JORDAN RD, MULINO, OR 97042-8799
(503) 919-1602
Mailing address
14907 S JORDAN RD, MULINO, OR 97042-8799
(503) 919-1602
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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