Individual
MR. KYLE PATRICK JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
110 BEAVERCREEK RD STE 100, OREGON CITY, OR 97045-4307
(503) 722-6313
(503) 655-8595
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500684640
—
OR
Enumeration date
09/16/2011
Last updated
11/05/2019
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