KYLE INGRAM

PORTLAND, OR
NPI1588036685
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  0014361)
Additional Taxonomies183500000X Pharmacist
(Licence: WA  60277645)
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- KYLE INGRAM Pharm.D.
5717 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-2062
Mailing Address
-- KYLE INGRAM Pharm.D.
5717 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-2062