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General NPI Number Information
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NPI Number | 1811814262
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Entity Type | Individual
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Provider Name | KENDRA LEE MYRSTOL DPT
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/11/2026
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Provider Practice Location Address
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Address Line | 6396 SW MCVEY AVE
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City | REDMOND
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State | OR
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Zip | 97756-9069
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Country | US
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Telephone | 541-389-1848
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Fax |
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Provider Business Mailing Address
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Address Line | 535 SE 4TH ST
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City | BEND
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State | OR
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Zip | 97702-1651
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Country | US
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Telephone | 406-599-6329
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State | OR
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