Individual
DR. TYLER MATTHEW TREHARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(888) 572-7231
Mailing address
3601 SW RIVER PKWY, #1206, PORTLAND, OR 97239-4553
(503) 338-9840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011874
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507733435
—
OR
Enumeration date
11/05/2009
Last updated
05/27/2021
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