Individual
KYLE MOMBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2875 NE STUCKI AVE, HILLSBORO, OR 97124-5806
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207X00000X
Orthopaedic Surgery Physician
29377
NE
207X00000X
Orthopaedic Surgery Physician
C179913
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD226288
OR
Other
Enumeration date
05/27/2015
Last updated
10/15/2025
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