KYLE WILLIAM HANSEN

ROSEBURG, OR
NPI1609447861
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-07-08
Last Update Date2021-07-08
Business Address
KYLE WILLIAM HANSEN
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-492-4550
Mailing Address
KYLE WILLIAM HANSEN
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: