Individual
KYLE A SAXE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 N GRAHAM ST STE 125, PORTLAND, OR 97227
(503) 413-3714
(503) 413-2061
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA180241
OR
363AS0400X
Surgical Physician Assistant
PA180241
OR
Other
Enumeration date
08/06/2015
Last updated
10/28/2019
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