Individual
MR. TYLER BROWN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2360 CHAMBERS ST, EUGENE, OR 97405-1861
(541) 687-1310
Mailing address
1223 OAK DR, EUGENE, OR 97404-2883
(541) 344-1771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004856
GA
225100000X
Physical Therapist
Primary
04277
OR
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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