KYLE FOSDICK

CORVALLIS, OR
NPI1720353204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2012-03-15
Last Update Date2012-03-15
Business Address
KYLE FOSDICK
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
Mailing Address
KYLE FOSDICK
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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