Tyler Justise Knautz
NPI #1417713900 in Baker City, Oregon
Provider Information
- NPI Number
- 1417713900
- Entity Type
- Individual
- Name
- Tyler Justise Knautz
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Feb 22, 2024
- Last Updated
- Feb 22, 2024
Practice Location
- Address
- 3600 13TH ST
- City
- Baker City
- State
- Oregon
- ZIP Code
- 97814-1346
- Phone
- (541) 523-9559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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