Kyle W McCullough
Kyle W McCullough is a Peer Specialist in North Bend, Oregon. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
400 Virginia Ave Ste 201North Bend, OR 97459-3444
Phone: (541) 751-0357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1659180321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 6, 2025 |
| Last updated in NPPES | January 6, 2025 |
| Certification date | January 6, 2025 |
| Mailing address | Po Box 1121, Roseburg, OR 97470-0254 |
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