Individual
KYLE FOLSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 SW BRUMBACK ST UNIT 2150, MCMINNVILLE, OR 97128-6899
(253) 442-4860
Mailing address
190 SW BRUMBACK ST UNIT 2150, MCMINNVILLE, OR 97128-6899
(253) 442-4860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OR
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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