GRACE DERMATOLOGY & MICROGRAPHIC SURGERY LLC
Ambulatory Health at Main Rd, Lebanon, OR

License number
Oregon MD153145
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: KYLE LELAND HORNER MD
Title: OWNER
Phone: (206) 465-8046
Address
Address
2500 S Main Rd, Lebanon, OR 97355
National Provider ID: 1184973828
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GRACE DERMATOLOGY & MICROGRAPHIC SURGERY LLC at bizstanding.com

GRACE DERMATOLOGY & MICROGRAPHIC SURGERY

2500 S Main Rd, Lebanon, OR 97355

Industry:
Medical Doctor's Office
Doing business as:
GRACE DERMATOLOGY<br>GRACE DERMATOLOGY & MICROGRAPHIC SURGERY, LLC<br>Grace Dermatology & Micrograph<br>Grace Dermatology - Kyle L Horner MD
Registration:
Oct 2, 2012
Phone:
(541) 258-7546 (Phone)
State ID:
88595294
Business type:
ASSUMED BUSINESS NAME
Dermatology, Owner:
Kyle L. Horner (Dermatology, Owner)
Agent:
Kyle Horner,2500 S Main Rd, Lebanon, OR 97355 (Physical)
Categories:
Dermatology Physicians & Surgeons

Ambulatory Health licenses in Oregon



Other Doctors licenses in Oregon