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Kyle Villaruz, DPM — NPI 1770079659, Grants Pass, OR | NPI Central

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NPI 1770079659

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Kyle Villaruz, DPM

NPI 1770079659 · Podiatrist · Grants Pass, OR

Provider details

NPI number: 1770079659
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: DPM
Sex: Male
Sole proprietor: Yes
License: T58-2019 (TX)

Specialties & taxonomies

PodiatristPrimary213E00000XLicense DP211294 (OR)
Podiatric Medicine & Surgery Service Providers
Podiatrist213E00000XLicense T58-2019 (TX)
Podiatric Medicine & Surgery Service Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

1619 Nw Hawthorne Ave Ste 110

Grants Pass, OR 97526-6008

Phone: (541) 471-7056

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

2932 Goldenwave

Rockwall, TX 75032-7319

Additional practice locations (2)

148 N 8th St
Philadelphia, PA 19107-2418
Phone: (215) 629-0300
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone: (206) 250-0732

Registry dates

Enumerated: 2018-07-03
Last updated: 2022-05-19
Certified: 2022-05-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.