Individual
MR. KYLE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
(541) 434-6747
Mailing address
3446 LAKESIDE DR, EUGENE, OR 97401-1594
(541) 870-2107
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19365
OR
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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