Kyle Evan Brinlee, CST
Individual provider Active NPI Surgical Technologist · Stayton, OR
NPI 1336814896 · NPPES record last updated Aug 16, 2021
Key facts
- NPI
- 1336814896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Technologist 246ZS0410X
- License
- 131952 (OR)
- Practice address
- 1401 N 10TH Ave
Stayton, OR 97383-1399 - Phone
- (503) 769-9100
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131952 | OR | MD | Surgical Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 131952 | OR | Yes |
Addresses
Primary practice location
1401 N 10TH Ave
Stayton, OR 97383-1399
Mailing address
7630 6TH St SE
Turner, OR 97392-9532
Phone (503) 586-8979
Other providers in Stayton, OR
- Richard C Boughn
- Kristen Bowman
- Katelynne Marie Braff
- Eric Steven Braman
- Daniel Kelly Brinlee
- Xakeila-Lee Byron-Stanley
- Canyon Family Health Inc
- Coby Cates
- Ian Cavigli
- Michael C Chen
All providers in Stayton, OR · Surgical Technologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.