Individual
KAYLA L PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MS, CRNA
Contact information
Practice address
20154 SW TILLAMOOK CT, TUALATIN, OR 97062-9176
(503) 803-0560
Mailing address
20154 SW TILLAMOOK CT, TUALATIN, OR 97062-9176
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
200541035RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
20116009CRNA
OR
Other
Enumeration date
12/18/2008
Last updated
12/12/2023
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