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Tyler Fanning, MD
Student in an Organized Health Care Education/Training Program in Corvallis, Oregon
NPI 1760987473

Tyler Fanning is a Student in an Organized Health Care Education/Training Program based in Corvallis, OR. Tyler Fanning practices in Corvallis, OR and has the professional credentials of MD. The NPI Number for Tyler Fanning is 1760987473 and holds a License No. MD216942 (Oregon).

The current practice location address for Tyler Fanning is 1112 Nw Circle Blvd, Corvallis, OR and can be reached out via phone at 541-768-5235.

Location: 1112 Nw Circle Blvd, Corvallis, OR, 97339-1189
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760987473
Provider Name
Tyler Fanning
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1112 Nw Circle Blvd, Corvallis, OR, 97339-1189
Phone Number
541-768-5235
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1112 Nw Circle Blvd
City
Corvallis
State
Oregon
Zip
97330-1462
Phone Number
541-768-5235
Fax Number
person
Provider Business Mailing Address Details
Address
1112 Nw Circle Blvd
City
Corvallis
State
Oregon
Zip
97330-1462
Phone Number
541-768-5235
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
042.0014873 (Vermont)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
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.
MD216942 (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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