Individual
TYLER M. FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Mailing address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO204255
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487696985
CURRY GENERAL HOSPITAL NPI
OR
Enumeration date
03/29/2014
Last updated
10/14/2021
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