Organization · NPI-2
Dr. Shaun Dyler Physician Consultant
Naturopath · Tigard, OR
NPI number1003272915
StatusActive
Last updated in NPPESJan 7, 2016
Details
- NPI
- 1003272915
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Shaun Dyler Physician Consultant
- Organization subpart
- No
- Enumeration date
- Jan 7, 2016
- Last updated
- Jan 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175F00000X | Naturopath | 790 | OR | Yes |
Practice location
14325 Sw 141st AveTigard, OR 97224-1407
Phone 503-314-6302
Mailing address
14325 Sw 141st AveTigard, OR 97224-1407
Phone 503-314-6302
Authorized official
Shaun Dyler
Owner
5033146302
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