Black, Tyler Whitman
Black, Tyler Whitman is an individual health care provider with primary practice located at 1827 Ne 44Th Ave Ste 390 , Portland OR 97213-1461. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Black, Tyler Whitman can be contacted via phone (503) 963-6494.Contact Information
Primary practice address
1827 Ne 44Th Ave Ste 390
Portland OR 97213-1461
Phone: (503) 963-6494
Fax: (503) 963-6495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1114697042 |
|---|---|
| LBN Legal business name | Black, Tyler Whitman |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2021 |
| Last updated | Sep 13th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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