Tyler Benjamin Hammond, DPT
Individual provider Active NPI Physical Therapist · Woodburn, OR
NPI 1669255477 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1669255477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 65056 (OR)
- Practice address
- 1475 Mount Hood Ave
Woodburn, OR 97071-9066 - Phone
- (971) 983-5206
- NPI assigned
- Aug 15, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65056 | OR | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 65056 | OR | Yes |
Addresses
Primary practice location
1475 Mount Hood Ave
Woodburn, OR 97071-9066
Mailing address
1475 Mount Hood Ave
Woodburn, OR 97071-9066
Phone (971) 983-5206
Other providers in Woodburn, OR
- Miriam Habafy
- Candace Marilyn Hagenauer
- Kathryn Richelle Hale
- Carla Frances Halvorson
- Tamara J Hammack
- Michelle Nicole Hampton
- David Hand
- Benjamin Minlee Haong
- Rebekah Harding
- Harmony Haven Living, LLC
All providers in Woodburn, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.