Tye Dewald
Peer Specialist in Milwaukie, OR. Individual provider (NPI-1).
NPI number1982175378
StatusActive
Last updated in NPPESDec 10, 2018
Details
- NPI
- 1982175378
- Entity type
- Individual (NPI-1)
- Name
- Tye Dewald
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2018
- Last updated
- Dec 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Other names
- Carleigh Dewald (Former Name)
Practice location
11073 Se Main StMilwaukie, OR 97222-7645
Phone 503-592-3204
Mailing address
21356 Hubbard Cutoff Rd Ne Unit 9Aurora, OR 97002-8401
Phone 503-592-3204
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All 40 Peer Specialist providers in Milwaukie · All 2,355 providers in Milwaukie
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