Individual
TYLER KORSLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
(503) 535-1192
Mailing address
2421 NE IRVING ST APT 102, PORTLAND, OR 97232-2359
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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