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Contact Information

KYLE D HOMERTGEN, DO
147 SW SHEVLIN HIXON DR STE 204
BEND, OR97702-1137
 Phone: 541-706-9985
 Fax: 541-408-9853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for KYLE D HOMERTGEN · (Male)

NPI # 1336266097
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/26/2007
Last updated 05/12/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • ME License # 2075
  • OR License # DO151041
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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