Individual
TYLER JOSEPH TREPANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
224067
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
202111127CRNA
OR
Other
Enumeration date
06/25/2021
Last updated
10/19/2021
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