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Individual

KENDRA DEYOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4724 SW MACADAM AVE, PORTLAND, OR 97239-9701
(503) 235-3122
Mailing address
3605 NE 14TH AVE, PORTLAND, OR 97212-2258

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OR

Other

Enumeration date
01/06/2016
Last updated
01/06/2016
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