Individual
KAYLAN TAYLOR STAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3016 NE BROADWAY ST, PORTLAND, OR 97232-1811
(503) 287-6636
Mailing address
13885 SW MERIDIAN ST UNIT 132, BEAVERTON, OR 97005-2481
(901) 483-2019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15540
TN
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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