NPI
Susan Chandler Tyler
NPI 1194050831
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- CBS, Diplomate, CNC
- Type
- Individual
- Enumeration date
- 2009-10-14
- Last updated
- 2009-10-14
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Specialties
Licenses
- License CA
- Certification Only
- License NC
- Certificate 3592 DQT
- License NC
- SHC 1073
- License NC
- Certificate 3592 QBS
Location
- Practice location
- 268 New Bridge Rd
- City
- Glide OR
- Postal code
- 97443-9609
- Phone
- (541) 733-4207
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Glide, OR. 11 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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