Individual
MRS. EVAYN TAYLOR HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE KELLY AVE, SUITE 100C, GRESHAM, OR 97030
(503) 912-5502
Mailing address
912 NE KELLY AVE, SUITE 100C, GRESHAM, OR 97030
(503) 912-5502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10178814
OR
Other
Enumeration date
01/04/2018
Last updated
05/19/2022
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