Individual
KYLE TROUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
2515 NW EDENBOWER BLVD, APT 20, ROSEBURG, OR 97471-8855
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014812
OR
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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