MS. KAYLEA LYNN GARDNER B.A.
NPI 1467653220
Counselor - School in Portland, OR
Active since May 30, 2007
About Ms. Kaylea Lynn Gardner B.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAYLEA LYNN GARDNER B.A. (NPI 1467653220) is an individual school provider in Portland, Oregon and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1467653220
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameMS. KAYLEA LYNN GARDNERCredential: B.A.
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address4004 Se 133rd AvePortland, OR 97236-3555 · (503) 205-4334
Phone(503) 205-4334
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467653220 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
3415 SE POWELL BLVD, Portland, OR 97202
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3415 SE POWELL BLVD
PORTLAND, OR 97202
PORTLAND, OR 97202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467653220, enumerated as an "individual" on May 30, 2007.
The provider is located at 3415 SE POWELL BLVD PORTLAND, OR 97202 and the phone number is (503) 205-4334.
Counselor with taxonomy code 101YS0200X and a focus in School.
