Kyle Brent Odesha

Case Manager/Care Coordinator · Medford, OR

Individual Active NPI

NPI number 1023621950

Practice location

200 Beatty St
Medford, OR 97501-5811
Phone
(541) 476-2373

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NPI record

NPI
1023621950
Entity type
Individual (Type 1)
Enumeration date
August 29, 2020
Last updated
December 29, 2023
Certified
December 29, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Mental Health Counselor 101YM0800X — —
Community Health Worker 172V00000X — CA

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544
Phone
(541) 476-2373

About Kyle Odesha

Kyle Brent Odesha is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 200 Beatty St, Medford, OR 97501-5811. The NPI number 1023621950 was assigned on August 29, 2020 and the record was last updated on December 29, 2023.

Frequently asked questions

What is the NPI number of Kyle Brent Odesha?

The NPI number is 1023621950.

What is the phone number of Kyle Odesha?

The phone number listed for the practice location is (541) 476-2373.

Where is Kyle Odesha located?

200 Beatty St, Medford, OR 97501-5811.

What is the taxonomy code for Kyle Odesha?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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