Individual
KITTY YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 333-3922
Mailing address
13124 KNAUS RD, LAKE OSWEGO, OR 97034-1510
(503) 333-3922
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
274591
OR
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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