Kyler Dawn Mayberry

NPI #1760132807 in Baker City, Oregon

Provider Information

NPI Number: 1760132807
Entity Type: Individual
Name: Kyler Dawn Mayberry
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Mar 23, 2022
Last Updated: Mar 23, 2022

Practice Location

Address: 3425 13TH ST
City: Baker City
State: Oregon
ZIP Code: 97814-1340
Phone: (541) 523-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Peer Specialist	175T00000X	Primary

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