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1699241125
KAYLA MOODY
TIGARD, OR
NPI
1699241125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA190342)
Enumeration Date
2018-10-23
Last Update Date
2020-10-20
Business Address
KAYLA MOODY PA
15755 SW SEQUOIA PKWY
TIGARD, OR 97224-7166
Phone number: 503-639-6002
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Mailing Address
KAYLA MOODY PA
4351 SE 28TH PL
PORTLAND, OR 97202-3519
Phone number: 512-784-4293
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