Individual
WILLIAM TYLER GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THW
Contact information
Practice address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264
Mailing address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/11/2024
Last updated
02/19/2025
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