Individual
KYRA EVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 NW VAUGHN ST STE 155, PORTLAND, OR 97210-5348
(503) 227-3479
(503) 223-4838
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60748
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0329717
WA L&I
OR
05
—
500675848
—
OR
Enumeration date
08/18/2014
Last updated
05/23/2016
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