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KYLIE MARAN FONTENO PA-C
NPI 1225269459
Physician Assistant in Salem, OR

Active since August 05, 2009
1233 EDGEWATER ST NW, SALEM, OR 97304(503) 378-7526(503) 585-4278 Get Directions Write a Review

NPPES record last updated: August 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kylie Maran Fonteno Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE MARAN FONTENO PA-C (NPI 1225269459) is an individual physician assistant in Salem, Oregon, licensed in Oregon (PA130055) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1225269459
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKYLIE MARAN FONTENOCredential: PA-C
Location Address1233 EDGEWATER ST NWSalem, OR 97304-4049
Mailing Address1233 Edgewater St NwSalem, OR 97304-4049 · (503) 378-7526 · Fax (503) 585-4278
Phone(503) 378-7526
Fax(503) 585-4278
Sole ProprietorNo
Enumeration DateAugust 5, 2009
Last NPPES UpdateAugust 11, 2009
✔ NPI 1225269459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA130055
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1233 EDGEWATER ST NW, Salem, OR 97304
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY COOK
Counselor (Mental Health)
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5828
VERONICA SANCHEZ-LEON LCSW
Social Worker (Clinical)
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 378-7526
MARIA DEL CARMEN UIRBE MENDEZ
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 378-7526
LUZ M RIVERA M.A., L.P.C.
Counselor (Professional)
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 378-7526
KARISSA MCCLANAHAN
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 378-7526
DR. PAIGE FRANCES TOMES M.D.
Internal Medicine
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 378-7526
STEPHANIE OCHOA CHW
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 378-7526
PETER BUEKEA MPH, CHW
Community Health Worker
1233 EDGEWATER ST NW
SALEM, OR 97304
Polk County (503) 588-5827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylie Fonteno's NPI number?

The NPI number for Kylie Fonteno is 1225269459. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Kylie Fonteno located?

Kylie Fonteno practices at 1233 Edgewater St NW, Salem, OR 97304. The listed phone number is (503) 378-7526.

What is Kylie Fonteno's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kylie Fonteno was last updated on August 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.