Tye Dewald
Tye Dewald is a Peer Specialist in Milwaukie, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
11073 SE Main StMilwaukie, OR 97222-7645
Phone: (503) 592-3204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1982175378 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 10, 2018 |
| Last updated in NPPES | December 10, 2018 |
| Mailing address | 21356 Hubbard Cutoff Rd Ne Unit 9, Aurora, OR 97002-8401 |
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