Individual
TYLER ODENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2350 NW CENTURY DR, CORVALLIS, OR 97330-3495
(541) 754-1265
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62118
OR
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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