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Mary Elizabeth Tyler, NNP
Neonatal Nurse Practitioner in Portland, Oregon
NPI 1447214465

Mary Elizabeth Tyler is a Neonatal Nurse Practitioner based in Portland, OR and is specialized in Neonatal. Mary Elizabeth Tyler practices in Portland, OR and has the professional credentials of NNP. The NPI Number for Mary Elizabeth Tyler is 1447214465 and holds a License No. 077039059N9 NNP-PP (Oregon).

The current practice location address for Mary Elizabeth Tyler is 2801 N Gantenbein Ave, Portland, OR and can be reached out via phone at 503-413-2119.

Location: 2801 N Gantenbein Ave, Portland, OR, 97227-1623
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Provider Profile Details
NPI Number
1447214465
Provider Name
Mary Elizabeth Tyler
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
2801 N Gantenbein Ave, Portland, OR, 97227-1623
Phone Number
503-413-2119
Fax Number
Provider Enumeration Date
04/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022938 05 OR
institution
Provider Business Practice Location Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-413-2119
Fax Number
person
Provider Business Mailing Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-413-2119
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
077039059N9 NNP-PP (Oregon)
Definition
Definition to come...
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