Individual
KYLE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 631-5400
Mailing address
ROOM B5314, SALEM HOSPITAL ADULT MEDICINE HOSPITALIST, SALEM, OR 97309
(503) 631-5400
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
167864
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
04/02/2014
Last updated
04/25/2017
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