Kelsey Marie Lavaute, DPT
Physical Therapist in Portland, OR. Individual provider (NPI-1).
NPI number1164037065
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1164037065
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Marie Lavaute
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT61188988 | WA | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | 63665 | OR |
Practice location
11782 Sw Barnes Rd Ste 300Portland, OR 97225-5933
Phone 503-214-5200 · Fax 503-906-6613
Mailing address
Po Box 4825Portland, OR 97208-4825
Phone 360-882-2778
Other practice locations
14795 Sw Murray Scholls Dr Ste 109
Beaverton, OR 97007-9230
Beaverton, OR 97007-9230
Phone 503-906-4301 · Fax 503-906-6613
2525 Ne 139th St Ste 110
Vancouver, WA 98686-2719
Vancouver, WA 98686-2719
Phone 360-882-2778
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