Individual
KAITLYNN PING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-2475
(541) 224-6987
Mailing address
17778 NW PIONEER RD, BEAVERTON, OR 97006-4692
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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