Individual
KAYLA MICHELE LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16265 NW CORNELL RD STE 100, BEAVERTON, OR 97006-4909
(503) 466-9800
(503) 466-9817
Mailing address
16265 NW CORNELL RD STE 100, BEAVERTON, OR 97006-4909
(503) 466-9800
(503) 466-9817
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62794
OR
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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