Tyler Fanning, MD

NPI 1760987473 · on the registry since 2018 · sole proprietor

Practice

Address: 1112 Nw Circle Blvd
Corvallis, OR 97330
Phone: (541) 768-5235
Organisation at this address: Good Samaritan Hospital Corvallis
Good Samaritan Hospital Corvallis
Good Samaritan Hospital Corvallis
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Also registered as: Psychiatry
390200000X
Licence states on file: OR, VT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-09-19

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