Tyler Douma
Tyler Douma is a Student in an Organized Health Care Education/Training Program in Spokane, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
9019 E Mission Ave Spokane Vly OfcSpokane, WA 99212
Phone: (855) 433-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DE60660643 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence RR 60559973 (WA) |
Record details
| NPI number | 1548628175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 10, 2016 |
| Last updated in NPPES | July 13, 2016 |
| Mailing address | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 |
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