Smoot, Kyle E

Smoot, Kyle E is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 595, Portland OR 97225-6652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Smoot, Kyle E can be contacted via phone (503) 216-1060.

Contact Information

Primary practice address
9427 Sw Barnes Rd Ste 595 Portland OR 97225-6652
Fax: (503) 216-1066
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD24410 Oregon

Profile Details

NPI number 1124170063
LBN Legal business name Smoot, Kyle E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124170063 NPPES
Oregon MEDICAID 006983

Popular Providers