Tyrell Group

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

TYRELL GROUP

Practice address

910 Capitol St NE
Salem, OR 97301-1201

Phone

(503) 851-5518

NPI assigned

Dec 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryce Lisser, LACNPI 1861940959

Title

Director

Phone

(503) 830-8880

Specialties & licenses 2

Addresses

Other names 1

• Stone Guardian Apprenticeship Doing business as

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryce Lisser, LAC

  • Acupuncturist
  • Salem, OR
  • NPI 1861940959
  NPD Authorized official
• Jonathan Ho, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1588056980
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1245048156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011201",
            "telephone_number": "503-851-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011201",
            "telephone_number": "503-851-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRELL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "LISSER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-830-8880",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone Guardian Apprenticeship",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dureti Dube Tusse
• Judy Tuttle Zollner, LPC
• Leatha Fayann Tweedy
• Two Lanes LLC
• Tyler Case Counseling LLC
• Elsa Tzintzun, QMHA
• U Therapi
• Ubh of Oregon, LLC
• Affiongma Udosenata Amadu
• Glory Omosede Ugiagbe, PMHNP

• All providers in Salem, OR
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.