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General NPI Number Information
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NPI Number | 1275287617
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Entity Type | Individual
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Provider Name | KAYLA TSCHERNIA
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Gender | Female
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 7759 SE 72ND AVE
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City | PORTLAND
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State | OR
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Zip | 97206-7921
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Country | US
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Telephone | 360-449-2071
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Fax |
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Provider Business Mailing Address
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Address Line | 2137 N Q ST
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City | WASHOUGAL
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State | WA
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Zip | 98671-6208
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Country | US
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Telephone | 360-449-2071
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60951994
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License Number State | WA
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