Individual
TERRAN RENEE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
609 W 10TH ST, MEDFORD, OR 97501-3106
(541) 774-4900
Mailing address
609 W 10TH ST, MEDFORD, OR 97501-3106
(541) 774-4900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1346883188
OR
171M00000X
Case Manager/Care Coordinator
Primary
1346883188
OR
Other
Enumeration date
05/24/2022
Last updated
08/11/2026
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