Individual
MISS LASHELLE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE 91ST AVE APT 7, PORTLAND, OR 97220-5757
(971) 720-2560
Mailing address
912 NE 91ST AVE APT 7, PORTLAND, OR 97220-5757
(971) 720-2560
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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