MRS. Susan Chandler Tyler, CBS, DIPLOMATE, CNC

NPI #1194050831 in Glide, Oregon

Provider Information

NPI Number: 1194050831
Entity Type: Individual
Name: MRS. Susan Chandler Tyler, CBS, DIPLOMATE, CNC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: CBS, DIPLOMATE, CNC
Enumeration Date: Oct 14, 2009
Last Updated: Oct 14, 2009

Practice Location

Address: 268 NEW BRIDGE RD
City: Glide
State: Oregon
ZIP Code: 97443-9609
Phone: (541) 733-4207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist - Nutrition, Education — Nutrition, Education	133NN1002X
Specialist	174400000X	Primary

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