Tye Dewald is a Peer Specialist based in Aurora, OR. Tye Dewald practices in Milwaukie, OR. The NPI Number for Tye Dewald is 1982175378 and holds a License No. (Oregon).
The current practice location address for Tye Dewald is 11073 Se Main St, Milwaukie, OR and can be reached out via phone at 503-592-3204.
Location: 11073 Se Main St, Milwaukie, OR, 97002-8401
Provider Profile Details
NPI Number
1982175378
Provider Name
Tye Dewald
Credential
Provider Entity Type
Individual
Gender
Male
Address
11073 Se Main St, Milwaukie, OR, 97002-8401
Phone Number
503-592-3204
Fax Number
Provider Enumeration Date
12/10/2018
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
11073 Se Main St
City
State
Zip
97222-7645
Phone Number
503-592-3204
Fax Number
Provider Business Mailing Address Details
Address
11073 Se Main St
City
State
Zip
97222-7645
Phone Number
503-592-3204
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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