Individual
MR. TYLER KAADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1324 SW PLEASANT VIEW DR APT 304, GRESHAM, OR 97080-5787
(503) 412-8999
Mailing address
1324 SW PLEASANT VIEW DR APT 304, GRESHAM, OR 97080-5787
(503) 412-8999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5821
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
526821
MARSH
OR
Enumeration date
01/03/2011
Last updated
01/03/2011
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