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Kyle D. Homertgen
Medical Specialty Clinic/Center in Bend, Oregon
NPI 1063026466

Kyle D. Homertgen is a Medical Specialty Clinic/Center based in Bend, OR and is specialized in Medical Specialty. Kyle D. Homertgen practices in Bend, OR. The NPI Number for Kyle D. Homertgen is 1063026466 and holds a License No. (Oregon).

The current practice location address for Kyle D. Homertgen is 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR and can be reached out via phone at 541-706-9985.

Location: 147 Sw Shevlin Hixon Dr Ste 204, Bend, OR, 97702-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063026466
Provider Name
Kyle D. Homertgen
Credential
Provider Entity Type
Organization
Address
147 Sw Shevlin Hixon Dr Ste 204, Bend, OR, 97702-1137
Phone Number
541-706-9985
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
147 Sw Shevlin Hixon Dr Ste 204
City
Bend
State
Oregon
Zip
97702-1137
Phone Number
541-706-9985
Fax Number
person
Provider Business Mailing Address Details
Address
147 Sw Shevlin Hixon Dr Ste 204
City
Bend
State
Oregon
Zip
97702-1137
Phone Number
541-706-9985
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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