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Individual

LYLE KRAMER VAN SOOLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 560-9142
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 560-9142

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
06/24/2024
Last updated
04/05/2025
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