Individual
KYLE IVY FUCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9427 S.W. BARNES ROAD, PORTLAND, OR 97225-7225
(503) 571-2727
Mailing address
1620 N.W. WALMER DRIVE, PORTLAND, OR 97229
(503) 292-1554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00034920
WA
174400000X
Specialist
Primary
12687
OR
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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