Individual
KYLE ANN MARKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12180 SW SCHOLLS FERRY RD, TIGARD, OR 97223-3334
(888) 663-6331
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA165406
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664028
—
OR
Enumeration date
10/16/2013
Last updated
01/09/2025
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