Provider Demographics
NPI:1962160051
Name:BARZEE, KAYLA NICHOLE (OTD, OTR/L)
Entity type:Individual
Prefix:MS
First Name:KAYLA
Middle Name:NICHOLE
Last Name:BARZEE
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6380 NE CHERRY DR APT 458
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7466
Mailing Address - Country:US
Mailing Address - Phone:415-806-0401
Mailing Address - Fax:
Practice Address - Street 1:13333 SW 68TH PKWY STE 20
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-9354
Practice Address - Country:US
Practice Address - Phone:971-279-5635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR463528225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist