Guy Thomas Tyler, LCSW
Social Worker, Clinical in Portland, OR. Individual provider (NPI-1).
NPI number1669941902
StatusActive
Last updated in NPPESNov 15, 2018
Details
- NPI
- 1669941902
- Entity type
- Individual (NPI-1)
- Name
- Guy Thomas Tyler
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2018
- Last updated
- Nov 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L7581 | OR | Yes |
Practice location
3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964
Phone 503-220-8262
Mailing address
1601 E Fourth Plain BlvdVancouver, WA 98661-3713
Phone 360-696-4061
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