Individual
MS. KAYLEA LYNN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 205-4334
Mailing address
4004 SE 133RD AVE, PORTLAND, OR 97236-3555
(503) 205-4334
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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