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Individual

CARLY KLEIBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO

Contact information

Practice address
2621 NE 134TH ST STE 120, VANCOUVER, WA 98686-3036
(360) 574-5452
Mailing address
2621 NE 134TH ST STE 120, VANCOUVER, WA 98686-3036
(360) 574-5452

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI61431449
WA
224P00000X
Prosthetist
PS61583072
WA

Other

Enumeration date
06/06/2025
Last updated
06/06/2025
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