Individual provider · Type 1 NPI
Kyle Ivy Fuchs, MD
Specialist · Portland, OR
NPI number
1063503100
Active
Practice location
9427 S.w. Barnes Road
Portland, OR 97225-7225
Mailing address
1620 N.w. Walmer Drive
Portland, OR 97229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 12687 (OR) |
| Specialist | 174400000X | 00034920 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1063503100
Kyle Ivy Fuchs, MD's National Provider Identifier is 1063503100, issued on Sep 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.