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Individual

DR. KYLE ALAN BERNHEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(503) 234-9591
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A109405
CA

Other

Enumeration date
11/01/2007
Last updated
03/29/2016
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