Individual
MR. TYLER CHARLES LONSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1430 MONMOUTH ST, INDEPENDENCE, OR 97351-1127
(503) 917-2255
Mailing address
1430 MONMOUTH ST, INDEPENDENCE, OR 97351-1127
(503) 917-2255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10007949
OR
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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