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Individual

KAITLYN ASTRAEA SAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(971) 762-4663
Mailing address
810 NE COUCH ST APT 207, PORTLAND, OR 97232-2900
(206) 427-0782
(206) 427-0782

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
OR

Other

Enumeration date
05/27/2026
Last updated
05/27/2026
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