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Individual

KAYLIE AURORA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT,DPT

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, MAIL CODE: P3PMRS, PORTLAND, OR 97239-2964
(971) 344-8348
Mailing address
3710 SW US VETERANS HOSPITAL RD, MAIL CODE: P3PMRS, PORTLAND, OR 97239-2964
(971) 344-8348

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60427
OR
225100000X
Physical Therapist
60439191
WA

Other

Enumeration date
06/13/2014
Last updated
05/30/2015
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