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TYLER J LIGHT

Individual Provider (NPI-1) Active

Student in an Organized Health Care Education/Training Program

Provider Information

NPI Number
1003366808
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
444 NW ELKS DR, CORVALLIS, OR, 973303758
Phone
(503) 494-8311

Specialties & Taxonomies

Otolaryngology License: OR #MD208155
Student in an Organized Health Care Education/Training Program Primary

All Addresses

MAILING

444 NW ELKS DR

CORVALLIS, OR, 973303745

(541) 754-1150

LOCATION

444 NW ELKS DR

CORVALLIS, OR, 973303758

(503) 494-8311