Most Relevant Information
Provider Data
| NPI Number: | 1003420795 |
| Provider Name: | KAYLA MAE EVERSOLE PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 61328609 |
Most Important Dates
| Enumeration Date: | 09/01/2020 |
| Last Updated: | 10/01/2024 |
Provider Practice Location
9155 SW BARNES RD STE 536
PORTLAND
OR
972256785
Practice Location Phone/Fax
| Phone: | 5039358100 |
| Fax: | 5039358110 |
Provider Mailing Location
541 NE 20TH AVE STE 225
PORTLAND
OR
972322895
Provider Mailing Phone/Fax
| Phone: | 5039632801 |
| Fax: |