Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Ingram, OTR

Individual provider Occupational Therapist · NPI 1336479989

Kyle Ingram, OTR is an Occupational Therapist in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

470 NE Stephens St Ste 102
Roseburg, OR 97470-3158
Phone: (541) 673-5770
Fax: (541) 673-5774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 579 (OR)

Record details

NPI number1336479989
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedJanuary 4, 2010
Last updated in NPPESNovember 1, 2016
Mailing address470 Ne Stephens St, Suite 102, Roseburg, OR 97470-3158

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