Individual
KYLE AVERY EVELAND-DEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
6714 N OMAHA AVE, PORTLAND, OR 97217-5357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61372
OR
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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