KAYLA MARIE STREET

SALEM, OR
NPI1588934442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA156112)
Enumeration Date2012-01-10
Last Update Date2012-02-07
Business Address
KAYLA MARIE STREET PA-C
435 LANCASTER DR NE
SALEM, OR 97301-4729
Phone number: 503-585-6388
Mailing Address
KAYLA MARIE STREET PA-C
435 LANCASTER DR NE
SALEM, OR 97301-4729
Phone number: 503-585-6388