IndividualActive
Kaylee Nicoll, OTD
NPI 1508690504 · Pediatric Occupational Therapist · Beaverton, OR
Provider details
- NPI number
- 1508690504
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD
- Sex
- Female
- Sole proprietor
- No
- License
- 519350 (OR)
Practice location
1815 Nw 169th Pl Ste 3070
Beaverton, OR 97006-7368
Phone: (971) 249-2653
Fax: (503) 747-4373
Mailing address
1815 Nw 169th Pl Ste 3070
Beaverton, OR 97006-7368
Registry dates
- Enumerated
- 2024-08-30
- Last updated
- 2024-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.