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NPI Code Detail

MEDICARE: TYLER MOORE LMFT

MEDICARE: TYLER MOORE LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLF70047566WA

General Provider Information

NPI Number : 1508426537
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER MOORE LMFT
Provider Business Mailing Address
First Line : 6303 NE 134TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98686-4960
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1498 SE TECH CENTER PL STE 300
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-5509
Country : US
Telephone Number : 360-619-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2019
Last Update Date : 01/24/2026

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Directions to “ TYLER MOORE LMFT” Practice Location

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