Search › Oregon › 1041C0700X
Tyler Grissom, LCSW
NPI 1700168804 · on the registry since 2011
Practice
- Address
- 1200 Hilyard St Ste 310
Eugene, OR 97401 - Phone
- (458) 205-6709
- Organisation at this address
- Peace Health Pharmacy
Radiology Associates Pc
Radiology Associates, Pc
Peacehealth Medical Group
Peacehealth Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 183
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
104100000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-05
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