Individual
MS. MICHELLE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER
Contact information
Practice address
3655 NE GARFIELD AVE, PORTLAND, OR 97212-2094
(503) 528-2140
(503) 335-8125
Mailing address
3655 NE GARFIELD AVE, PORTLAND, OR 97212-2094
(503) 528-2140
(503) 335-8125
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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