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NPI Code Detail

MEDICARE: TYLER ALLEN VERMILYA

MEDICARE: TYLER ALLEN VERMILYA
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
1104100000XSocial Worker
21041C0700XClinical Social WorkerLW60665795WA

General Provider Information

NPI Number : 1023585288
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER ALLEN VERMILYA
Provider Business Mailing Address
First Line : 6315 20TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-6909
Country : US
Telephone Number : 253-234-4713
Fax Number :
Provider Business Practice Location Address
First Line : 123 NW 36TH ST STE 210
Second Line :
City : SEATTLE
State : WA
Zip : 98107-4959
Country : US
Telephone Number : 253-234-4713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2018
Last Update Date : 01/12/2023

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Directions to “ TYLER ALLEN VERMILYA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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