Individual
JILL L KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 721-1028
Mailing address
1200 32ND AVE SW APT 311, MINOT, ND 58701-8313
(408) 368-3764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202008922RN
OR
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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