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1124170063
KYLE E SMOOT
PORTLAND, OR
NPI
1124170063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: OR MD24410)
Enumeration Date
2007-01-18
Last Update Date
2021-11-30
Business Address
KYLE E SMOOT M.D.
9427 SW BARNES RD STE 595
PORTLAND, OR 97225-6652
Phone number: 503-216-1060
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Mailing Address
KYLE E SMOOT M.D.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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