Clark, Tyler Aspinwall
Clark, Tyler Aspinwall is an individual health care provider with primary practice located at 2349 Ne Conners Ave , Bend OR 97701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Clark, Tyler Aspinwall can be contacted via phone (541) 317-0044.Contact Information
Primary practice address
2349 Ne Conners Ave
Bend OR 97701
Phone: (541) 317-0044
Fax: (541) 728-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60737259 | Washington |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD171002 | Oregon |
Profile Details
| NPI number | 1447549183 |
|---|---|
| LBN Legal business name | Clark, Tyler Aspinwall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Jul 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447549183 | NPPES |
| Washington | MEDICAID | 2026434 |
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