Meyer, Kaylene Marie
Meyer, Kaylene Marie is an individual health care provider with primary practice located at 10215 Sw Park Way Ste D , Portland OR 97225-5036. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Meyer, Kaylene Marie can be contacted via phone (503) 292-3583.Contact Information
Primary practice address
10215 Sw Park Way Ste D
Portland OR 97225-5036
Phone: (503) 292-3583
Fax: (503) 292-1022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 028498 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 33029 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 22209 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1944 | Nevada |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 60092 | Oregon |
Profile Details
| NPI number | 1275505398 |
|---|---|
| LBN Legal business name | Meyer, Kaylene Marie |
| Credentials | P.T, D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275505398 | NPPES |
| Nevada | MEDICAID | 100507331 | |
| Nevada | MEDICAID | 500658494 | |
| Nevada | Other | R195837 |
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