Johnson, Tyler Patrick

Johnson, Tyler Patrick is an individual health care provider with primary practice located at 331 Se 2Nd St , Pendleton OR 97801-2224. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Johnson, Tyler Patrick can be contacted via phone (541) 276-6207.

Contact Information

Primary practice address
331 Se 2Nd St Pendleton OR 97801-2224
Phone: (541) 276-6207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1306599162
LBN Legal business name Johnson, Tyler Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2022
Last updated Sep 19th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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