Individual
MR. KYLE R. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1128 NE 2ND ST, SUITE 204, CORVALLIS, OR 97330-6230
(541) 752-9034
(541) 752-0216
Mailing address
2292 NW KINGS BLVD., CORVALLIS, OR 97330
(541) 752-9034
(541) 752-0216
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
02/08/2012
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