IndividualActive
Kyle Troutman
NPI 1780052894 · Pharmacist · Roseburg, OR
Provider details
- NPI number
- 1780052894
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0014812 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Phone: (541) 440-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2515 Nw Edenbower Blvd
Roseburg, OR 97471-8855
Registry dates
- Enumerated
- 2015-09-04
- Last updated
- 2015-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.