Individual
KYLEEN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
(503) 570-3665
Mailing address
8100 SW NYBERG ST STE 200, TUALATIN, OR 97062-8437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
086425
IA
225X00000X
Occupational Therapist
Primary
379013
OR
Other
Enumeration date
04/11/2017
Last updated
08/18/2022
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