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Contact Information

KYLE M VAN DE GRAAFF, MD
444 NW ELKS DR
CORVALLIS, OR97330-3745
 Phone: 541-754-1252
 Fax: 541-754-2772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KYLE M VAN DE GRAAFF · (Male)

NPI Number 1770577025
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2005
Last updated 08/31/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD152734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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