Tyler Kailiuli, DPT | |
8810 Se Sunnybrook Blvd, Clackamas, OR 97015-6804 | |
(503) 607-2226 | |
Not Available |
Full Name | Tyler Kailiuli |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 8810 Se Sunnybrook Blvd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386336337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2251X0800X | Physical Therapist - Orthopedic | 5131 (Nevada) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 65794 (Oregon) | Primary |
Provider Name | Chynoweth Hill And Leavitt L L C |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164415279 PECOS PAC ID: 7012980550 Enrollment ID: O20040813000749 |
Mailing Address | Practice Location Address |
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Tyler Kailiuli, DPT 4225 Imperial Dr, West Linn, OR 97068-3626 Ph: (541) 817-5134 | Tyler Kailiuli, DPT 8810 Se Sunnybrook Blvd, Clackamas, OR 97015-6804 Ph: (503) 607-2226 |
Brent Hammack, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Richard Bandy, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11977 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-486-6944 | |
Kelly Elizabeth Jackson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Ashlee Baltich, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2180 | |
Abby Duval Grabowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015 Phone: 502-215-2110 | |
Dr. Alain Denis Machtelinckx, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-6614 | |
Sonja Creel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9290 Se Sunnybrook Blvd Ste 230, Clackamas, OR 97015 Phone: 503-215-2085 Fax: 503-215-2185 |