Individual provider · Type 1 NPI

John-Paul Tyler, AG-ACNP

Acute Care Nurse Practitioner · Portland, OR

NPI number 1750759593 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 494-4997

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X201506725NP-PP (OR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1750759593

John-Paul Tyler, AG-ACNP's National Provider Identifier is 1750759593, issued on Sep 10, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Mar 27, 2018.