NPI 1003428640

Tyler Bennink

Practitioner Case Manager/Care Coordinator Astoria, OR

Practice location

Address: 413 Gateway Ave, Astoria, OR 97103-6032
Phone: (503) 325-5722
Mailing address: 65 N Highway 101 STE 204, Warrenton, OR 97146-9371

Registered specialties (3)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1003428640
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2020
Record last updated: 6 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.