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

TaxonomyCodeLicense
Specialist Primary 174400000X12687 (OR)
Specialist 174400000X00034920 (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.