Individual
JEFFREY R TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37638 E KNIERIEM RD, CORBETT, OR 97019-8818
(503) 939-6000
(503) 286-7939
Mailing address
37638 E KNIERIEM RD, CORBETT, OR 97019-8818
(503) 939-6000
(503) 286-7939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13966
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264044
—
OR
Enumeration date
05/25/2006
Last updated
03/27/2019
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