Kyla Laraway, MS, OTD, OTR/L | |
310 Villa Rd, Newberg, OR 97132-1886 | |
(503) 537-3546 | |
Not Available |
Full Name | Kyla Laraway |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 310 Villa Rd, Newberg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598202152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 365317 (Oregon) | Primary |
Provider Name | Providence Health & Services Oregon |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
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Kyla Laraway, MS, OTD, OTR/L Po Box 3158, Portland, OR 97208-3158 Ph: () - | Kyla Laraway, MS, OTD, OTR/L 310 Villa Rd, Newberg, OR 97132-1886 Ph: (503) 537-3546 |
Ms. Jeanne Ellen Haislip, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 730 Foothills Dr, Newberg, OR 97132 Phone: 503-554-0767 | |
Marla Bisceglie, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Fulton St, Newberg, OR 97132 Phone: 503-538-2108 | |
Valery Brisbane Sampson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Villa Rd, Newberg, OR 97132 Phone: 503-537-3546 | |
Kara Fenton, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 N Providence Dr, Newberg, OR 97132 Phone: 503-537-1863 | |
Jessica Smith, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 Deborah Rd Ste 190, Newberg, OR 97132 Phone: 503-537-7070 | |
Luvonne T. Votaw, BSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 N Everest Rd, Newberg, OR 97132 Phone: 503-538-8952 Fax: 503-537-2027 |