Individual
KYLE PASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
308 N IVY ST, CANBY, OR 97013-3704
(503) 263-6786
(503) 263-6451
Mailing address
1480 NE VILLAGE ST, FAIRVIEW, OR 97024-3827
(503) 489-6250
(503) 489-1650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61131
OR
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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