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Tyler J Light
Student in an Organized Health Care Education/Training Program in Corvallis, Oregon
NPI 1003366808

Tyler J Light is a Student in an Organized Health Care Education/Training Program based in Corvallis, OR. Tyler J Light practices in Corvallis, OR. The NPI Number for Tyler J Light is 1003366808 and holds a License No. MD208155 (Oregon).

The current practice location address for Tyler J Light is 444 Nw Elks Dr, Corvallis, OR and can be reached out via phone at 503-494-8311.

Location: 444 Nw Elks Dr, Corvallis, OR, 97330-3745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003366808
Provider Name
Tyler J Light
Credential
Provider Entity Type
Individual
Gender
Male
Address
444 Nw Elks Dr, Corvallis, OR, 97330-3745
Phone Number
503-494-8311
Fax Number
Provider Enumeration Date
10/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD208155 01 OR OREGON MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
444 Nw Elks Dr
City
Corvallis
State
Oregon
Zip
97330-3758
Phone Number
503-494-8311
Fax Number
person
Provider Business Mailing Address Details
Address
444 Nw Elks Dr
City
Corvallis
State
Oregon
Zip
97330-3758
Phone Number
503-494-8311
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
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Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD208155 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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