Individual
KYLE M BIDGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
675 ORCHARD HEIGHTS RD NW STE 150, SALEM, OR 97304-3041
(503) 391-5542
Mailing address
PO BOX 12686, SALEM, OR 97309-0686
(503) 540-8701
(503) 371-8772
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6429
OR
Other
Enumeration date
03/11/2011
Last updated
04/04/2018
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