Pickle, Tyler

Pickle, Tyler is an sole proprietor health care provider with primary practice located at 11035 Ne Sandy Blvd , Portland OR 97220-2553. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Pickle, Tyler can be contacted via phone (503) 735-6603.

Contact Information

Primary practice address
11035 Ne Sandy Blvd Portland OR 97220-2553
Phone: (503) 735-6603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X L10375 Oregon

Profile Details

NPI number 1285070839
LBN Legal business name Pickle, Tyler
Credentials LCSW, CADC-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated Nov 4th, 2020 - about 5 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.

Request for update

Popular Providers