| Tyler Hunt Pmhnp-bc Llc | |
|
3787 River Rd N Ste A Keizer OR 97303-4899 | |
| (865) 804-1217 | |
| Not Available |
| Full Name | Tyler Hunt Pmhnp-bc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3787 River Rd N Ste A, Keizer, Oregon |
| Authorized Official Name and Position | Tyler Hunt (OWNER/CEO) |
| Authorized Official Contact | 8658041217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Hunt Pmhnp-bc Llc 2328 Portland Dr Maryville TN 37803-8306 Ph: (865) 804-1217 | Tyler Hunt Pmhnp-bc Llc 3787 River Rd N Ste A Keizer OR 97303-4899 Ph: (865) 804-1217 |
| NPI Number | 1013709054 |
|---|---|
| Provider Enumeration Date | 05/17/2025 |
| Last Update Date | 05/17/2025 |
| Certification Date | 05/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013709054 | NPI | - | NPPES |
| 500845613 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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