Individual
KYLIE SHAY MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 SE INTERNATIONAL WAY STE 501, MILWAUKIE, OR 97222-8855
(503) 496-3201
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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