Kayla Linville, RN, BSN
Individual provider Active NPI Family Medicine Physician · Enterprise, OR
NPI 1811488778 · NPPES record last updated May 25, 2018
Key facts
- NPI
- 1811488778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 261QF0400X (OR)
- Practice address
- 603 Medical Pkwy
Enterprise, OR 97828-5124 - Phone
- (541) 426-4502
- Fax
- (541) 426-6403
- NPI assigned
- May 25, 2018
- Sex
- Female
- 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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261QF0400X | OR | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 261QF0400X | OR | Yes |
Addresses
Primary practice location
603 Medical Pkwy
Enterprise, OR 97828-5124
Mailing address
603 Medical Pkwy
Enterprise, OR 97828-5124
Other practice location 1
401 N Main St
Joseph, OR 97846-5001
Phone (541) 432-6555
Other providers in Enterprise, OR
- Ronald Duy Le
- Katrina Leith
- Anna Lembke
- Troy Lewellyn
- Vanessa Lewis
- Jennifer Little
- Shane Lodder
- Lauren Macdonald
- Annika Giesbrecht Maly
- Anna Mapes
All providers in Enterprise, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2018. 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.