Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler Fanning, MD

Individual provider Psychiatry Physician · NPI 1760987473

Tyler Fanning, MD is a Psychiatry Physician in Corvallis, Oregon. Practices as a sole proprietor. Licensed in Oregon and Vermont.

Licensed in
OR, VT
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1112 NW Circle Blvd
Corvallis, OR 97330-1462
Phone: (541) 768-5235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD216942 (OR)
Psychiatry Physician Taxonomy 2084P0800X · Licence 042.0014873 (VT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760987473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2018
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing addressPo Box 1189, Corvallis, OR 97339-1189

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