SearchOregonStudent in an Organized Health Care Education/Training Program

Tyler Light

NPI 1003366808 · on the registry since 2016 · sole proprietor

Practice

Address
444 Nw Elks Dr
Corvallis, OR 97330
Phone
(503) 494-8311
Organisation at this address
Corvallis Clinic Pc
The Corvallis Clinic P C
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address
42

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Otolaryngology Physician
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon