Individual
TYLER ALLEN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 903-2846
Mailing address
1059 NW MADRAS HWY, PRINEVILLE, OR 97754-1416
(541) 903-2846
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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