Individual
KAYLA ANNE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
61250 SE COOMBS PL, BEND, OR 97702-3704
(541) 706-5930
(541) 706-5931
Mailing address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA206996
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2020
Last updated
06/22/2026
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