Individual
KIANA LACADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2219 SE 68TH AVE, PORTLAND, OR 97215-4099
(503) 517-1063
Mailing address
2383 NW OAK KNOLL PL, BEAVERTON, OR 97006-8074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10186705
OR
2255A2300X
Athletic Trainer
161017786
WA
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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