Individual provider · Type 1 NPI
Susan Chandler Tyler, CBS, DIPLOMATE, CNC
Specialist · Glide, OR
NPI number
1194050831
Active
Practice location
268 New Bridge Rd
Glide, OR 97443-9609
Fax (888) 629-4949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | CERTIFICATION ONLY (CA) |
| Specialist Primary | 174400000X | CERTIFICATE 3592 DQT (NC) |
| Specialist | 174400000X | SHC 1073 (NC) |
| Specialist | 174400000X | CERTIFICATE 3592 QBS (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1194050831
Susan Chandler Tyler, CBS, DIPLOMATE, CNC's National Provider Identifier is 1194050831, issued on Oct 14, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glide, OR. The record was last updated on Oct 14, 2009.