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Mrs. Susan Chandler Tyler, CBS,DIPLOMATE,CNC
Specialist in Glide, Oregon
NPI 1194050831

Susan Chandler Tyler is a Specialist based in Glide, OR. Susan Chandler Tyler practices in Glide, OR and has the professional credentials of CBS,DIPLOMATE,CNC. The NPI Number for Susan Chandler Tyler is 1194050831 and holds a License No. CERTIFICATION ONLY (Oregon).

The current practice location address for Susan Chandler Tyler is 268 New Bridge Rd, Glide, OR and can be reached out via phone at 541-733-4207 and via fax at 888-629-4949.

Location: 268 New Bridge Rd, Glide, OR, 97443-9609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194050831
Provider Name
Susan Chandler Tyler
Credential
CBS,DIPLOMATE,CNC
Provider Entity Type
Individual
Gender
Female
Address
268 New Bridge Rd, Glide, OR, 97443-9609
Phone Number
541-733-4207
Fax Number
888-629-4949
Provider Enumeration Date
10/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
268 New Bridge Rd
City
Glide
State
Oregon
Zip
97443-9609
Phone Number
541-733-4207
Fax Number
888-629-4949
person
Provider Business Mailing Address Details
Address
268 New Bridge Rd
City
Glide
State
Oregon
Zip
97443-9609
Phone Number
541-733-4207
Fax Number
888-629-4949
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
CERTIFICATE 3592 DQT (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CERTIFICATION ONLY (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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