person
Tyler Justise Knautz
Addiction (Substance Use Disorder) Counselor in Baker City, Oregon
NPI 1417713900

Tyler Justise Knautz is an Addiction (Substance Use Disorder) Counselor based in Baker City, OR and is specialized in Addiction (Substance Use Disorder). Tyler Justise Knautz practices in Baker City, OR. The NPI Number for Tyler Justise Knautz is 1417713900 and holds a License No. PENDING (Oregon).

The current practice location address for Tyler Justise Knautz is 3600 13Th St, Baker City, OR and can be reached out via phone at 541-523-9559 and via fax at 541-523-8067.

Location: 3600 13Th St, Baker City, OR, 97814-1340
person
Provider Profile Details
NPI Number
1417713900
Provider Name
Tyler Justise Knautz
Credential
Provider Entity Type
Individual
Gender
Male
Address
3600 13Th St, Baker City, OR, 97814-1340
Phone Number
541-523-9559
Fax Number
541-523-8067
Provider Enumeration Date
02/22/2024
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
B311170 01 OR ODL
institution
Provider Business Practice Location Address Details
Address
3600 13Th St
City
State
Zip
97814-1346
Phone Number
541-523-9559
Fax Number
541-523-8067
person
Provider Business Mailing Address Details
Address
3600 13Th St
City
State
Zip
97814-1346
Phone Number
541-523-9559
Fax Number
541-523-8067
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
PENDING (Oregon)
Definition
Definition to come...
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