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Organization
TYLER HUNT PMHNP-BC LLC
Active
Organization
TYLER HUNT PMHNP-BC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER HUNT PMHNP (OWNER/CEO)
(865) 804-1217
Entity
Organization
Contact information
Practice address
3787 RIVER RD N STE A, KEIZER, OR 97303-4899
(865) 804-1217
Mailing address
2328 PORTLAND DR, MARYVILLE, TN 37803-8306
(865) 804-1217
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500845613
—
OR
Enumeration date
05/17/2025
Last updated
05/17/2025
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