Individual
MS. KAYLENE MARIE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T, D.P.T.
Contact information
Practice address
10215 SW PARK WAY STE D, PORTLAND, OR 97225-5036
(503) 292-3583
(503) 292-1022
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
028498
NY
225100000X
Physical Therapist
1944
NV
225100000X
Physical Therapist
22209
MD
225100000X
Physical Therapist
33029
CA
225100000X
Physical Therapist
Primary
60092
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507331
—
NV
05
—
500658494
—
OR
01
—
R195837
MEDICARE
OR
Enumeration date
02/02/2006
Last updated
07/21/2022
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