Individual
KYLA LARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTD, OTR/L
Contact information
Practice address
310 VILLA RD, NEWBERG, OR 97132-1886
(503) 537-3546
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
365317
OR
Other
Enumeration date
01/20/2017
Last updated
04/03/2019
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