Individual provider · Type 1 NPI

Tyler J. Light

Student in an Organized Health Care Education/Training Program · Corvallis, OR

NPI number 1003366808 Active

Practice location

444 NW Elks Dr
Corvallis, OR 97330-3758

Call (503) 494-8311 Map

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician 207Y00000XMD208155 (OR)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003366808

Tyler J. Light's National Provider Identifier is 1003366808, issued on Oct 5, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corvallis, OR. The record was last updated on May 23, 2022.