Tyree John Dingle, is a
Psychologist - Clinical based in Portland, Oregon. Tyree John Dingle is licensed to practice in Oregon (license number 3940) and his current practice location is
1411 Sw Morrison St Ste 310, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 352-2400.
NPI number for Tyree John Dingle is 1710476684 and his current mailing address is 101 E Broadway Ste 400, Eugene, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710476684.
Healthcare Provider's Profile
| Full Name | Tyree John Dingle |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1411 Sw Morrison St Ste 310, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710476684
- Provider Enumeration Date: 05/07/2018
- Last Update Date: 01/07/2025
Medical Identifiers
Medical identifiers for Tyree John Dingle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710476684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3940 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyree John Dingle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tyree John Dingle,
101 E Broadway Ste 400,
Eugene, OR 97401-3104
Ph: (541) 357-9764 | Tyree John Dingle,
1411 Sw Morrison St Ste 310,
Portland, OR 97205-1945
Ph: (503) 352-2400 |
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