Individual
KELLY LYNN BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NW 169TH PL STE B100, BEAVERTON, OR 97006-7362
(503) 350-7050
Mailing address
1800 NW 169TH PL STE B100, BEAVERTON, OR 97006-7362
(503) 350-7050
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
11/23/2020
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