Individual
KYLIE ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1387
(541) 963-8421
Mailing address
501 5TH ST, LA GRANDE, OR 97850-1913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
227787
OR
Other
Enumeration date
07/15/2025
Last updated
11/09/2025
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