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Individual

PROF. NAYANA KODE I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
14475 SW BARROWS RD, BEAVERTON, OR 97007-6103
(503) 966-5997
Mailing address
14475 SW BARROWS RD, BEAVERTON, OR 97007-6103

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61621
OR

Other

Enumeration date
12/02/2011
Last updated
05/07/2021
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