NPI 1083412100

Tyler Ashby

Practitioner Specialist Gresham, OR

Practice location

Address: 4101 NE Division St, Gresham, OR 97030-4617
Phone: (503) 666-6575

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1083412100
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2025
Record last updated: 5 Mar 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.