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1508113093
KYLA JOHANNA WALISH
LAKE OSWEGO, OR
NPI
1508113093
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Former Name
KYLA JOHANNA GOODWIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6913)
Enumeration Date
2012-08-14
Last Update Date
2016-01-05
Business Address
-- KYLA JOHANNA WALISH P.T.
17355 BOONES FERRY RD STE. B
LAKE OSWEGO, OR 97035-5202
Phone number: 503-632-0844
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Mailing Address
-- KYLA JOHANNA WALISH P.T.
16083 SW UPPER BOONES FERRY RD SUITE 300
TIGARD, OR 97224-7736
Phone number: 800-219-8835
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