Provider Demographics
NPI:1790344521
Name:PRICE, KAYLA JOY (DACM, LAC)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:JOY
Last Name:PRICE
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:JOY
Other - Last Name:HARROP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11656 SE 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97222-6763
Mailing Address - Country:US
Mailing Address - Phone:541-862-3197
Mailing Address - Fax:
Practice Address - Street 1:609 NE BAKER ST STE 250
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-4950
Practice Address - Country:US
Practice Address - Phone:541-862-3107
Practice Address - Fax:503-213-8784
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC190033171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist