Mary Elizabeth Tyler in Portland - Neonatal

Mary Elizabeth Tyler - NPI 1447214465

Mary Elizabeth Tyler is a Neonatal in Portland, Oregon. Mary Elizabeth Tyler practices all healthcare services and medical treatments related to Neonatal. The NPI Number for Mary Elizabeth Tyler is 1447214465. The last update date is 2012-11-21.

Mary Elizabeth Tyler's current location address is 2801 N Gantenbein Ave, Portland, Oregon. You can contact this provider via phone number 5034132119. The mailing address for Mary Elizabeth Tyler is 2801 N Gantenbein Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Elizabeth Tyler
Address 2801 N Gantenbein Ave, Portland, Oregon
Phone Number 5034132119
Fax Number
Sole Proprietor N
Credentials NNP

NPI Number Detail

NPI Number 1447214465
Provider Enumeration Date 2006-04-14
Last Updated Date 2012-11-21

Provider Mailing Address Detail

Address 2801 N Gantenbein Ave
City Portland
State Oregon (OR)
Post Code 972271623
Phone Number 5034132119
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neonatal
Taxonomy 363Ln0000X
Licence No 077039059N9
Definition:
An advanced practice registered nurse expert in providing care to high-risk, critically ill, and special needs newborns.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22938 OR --

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FAQs about Mary Elizabeth Tyler

What is the unique 10-digit identifier code issued to Mary Elizabeth Tyler by the Centers for Medicare & Medicaid Services?

The Mary Elizabeth Tyler has been assigned the NPI (National Provider Identifier) 1447214465 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Mary Elizabeth Tyler is physically located?

The Mary Elizabeth Tyler is physically situated at the following address: 2801 N Gantenbein Ave, Portland, OR, 972271623.

What is the area of specialization for Mary Elizabeth Tyler, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Elizabeth Tyler is Neonatal, and the corresponding taxonomy code that categorizes this area of expertise is 363Ln0000X.

On what date did the Mary Elizabeth Tyler receive its 1447214465 assignment from the Centers for Medicare & Medicaid Services?

The Mary Elizabeth Tyler was assigned its 1447214465 by the Centers for Medicare & Medicaid Services on 2006-04-14.

When was the information regarding Mary Elizabeth Tyler, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mary Elizabeth Tyler, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-11-21.

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