Kyle Chad Oborn

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0017054 Issued in OR

Practice address

4550 W 11TH Ave
Eugene, OR 97402-5414

Phone

(541) 344-2370

NPI assigned

May 10, 2019

Last updated

May 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1376109710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025414",
            "telephone_number": "541-344-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBORN",
        "first_name": "KYLE",
        "middle_name": "CHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0017054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby L Oberg
• Oria Gynnette Oberholtzer
• Zoza Oberle
• Eugene A Obersinner, L.C.S.W.
• Jo Ann Obie-Eldredge, RDH
• Jamie Dawn Ocallaghan, LPN
• Caesar Ocampo, A. T., C.
• Jazmin Ochoa Garibay
• Siria Emilce Ochoa, RN
• Octarine Therapeutic Mental Health Services

• Pharmacist in Eugene, OR
• Providers in Eugene, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.