Ty Warner
Ty Warner is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
4850 SE Woodstock Blvd Apt 541Portland, OR 97206-6143
Phone: (509) 981-2224
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1811884844 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 23, 2025 |
| Last updated in NPPES | June 23, 2025 |
| Certification date | June 22, 2025 |
| Mailing address | 4850 Se Woodstock Blvd Apt 541, Portland, OR 97206-6143 |
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