SearchOregon171M00000X

Kyle Odesha

NPI 1023621950 · on the registry since 2020

Practice

Address
200 Beatty St
Medford, OR 97501
Phone
(541) 476-2373
Organisation at this address
Genoa Healthcare Llc
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Inferred from a shared address, not stated in the registry.
Clinicians at this address
179

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
172V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon