Individual
BAYLI LAINE CURL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3430 SE HARRISON ST APT C7, MILWAUKIE, OR 97222-6555
(503) 956-9686
Mailing address
3430 SE HARRISON ST APT C7, MILWAUKIE, OR 97222-6555
(503) 956-9686
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108722
—
OR
Enumeration date
08/28/2020
Last updated
08/28/2020
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