# KYLIE GIERACH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992688006
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA227911 | OR | Yes |
| 363AS0400X | Surgical Physician Assistant | PA227911 | OR | Yes |

## Other

- **Enumeration date:** 07/28/2025
- **Last updated:** 05/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2369565 | — | WA |
| 05 | — | 500868830 | — | OR |