Search › Oregon › 103TC1900X
Tyler Boulanger
NPI 1700486586 · on the registry since 2020
Practice
- Address
- 4212 Se Division St
Portland, OR 97206 - Phone
- (503) 238-0705
- Fax
- (503) 236-7166
- Organisation at this address
- Cascadia Health
Cascadia Health
Oregon Health & Science UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 71
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Sex
- Male
- Record last updated
- 2022-08-21
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