Individual
KYLE I. PIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
200 NE MOTHER JOSEPH PL, SUITE 110, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL, SUITE 210, VANCOUVER, WA 98664-3299
(360) 254-6161
(360) 449-1139
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10002029
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8355182
—
WA
Enumeration date
06/18/2006
Last updated
10/10/2007
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