Individual
DR. TYLER MANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
55 S STATE ST STE 3220, LAKE OSWEGO, OR 97034-3975
(503) 635-7742
Mailing address
55 S STATE ST STE 3220, LAKE OSWEGO, OR 97034-3975
(503) 635-7742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016005573
IL
213E00000X
Podiatrist
Primary
DP186203
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005573
—
IL
Enumeration date
05/17/2012
Last updated
02/24/2026
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