Weaver, Tyler Scott

Weaver, Tyler Scott is an individual health care provider with primary practice located at 1508 Division St Ste 115 , Oregon City OR 97045-1584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Weaver, Tyler Scott can be contacted via phone (503) 656-0601.

Contact Information

Primary practice address
1508 Division St Ste 115 Oregon City OR 97045-1584
Phone: (503) 656-0601
Fax: (503) 656-1389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD194367 Oregon

Profile Details

NPI number 1326467812
LBN Legal business name Weaver, Tyler Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Nov 28th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326467812 NPPES
Washington MEDICAID 2037635
Washington MEDICAID 500707151

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