KYLE FITZGERALD

BEND, OR
NPI1972218014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  108009)
Enumeration Date2023-01-23
Last Update Date2023-01-23
Business Address
KYLE FITZGERALD CHW
2065 NE TUCSON WAY APT 110
BEND, OR 97701-5182
Phone number: 541-383-3005
Mailing Address
KYLE FITZGERALD CHW
600 SW COLUMBIA ST STE 6250
BEND, OR 97702-1099
Phone number: 541-383-3005