TYLER SHANLEY
NPI 1063245165
Counselor - Mental Health in Bend, OR

The NPI number for Tyler Shanley is 1063245165. It was assigned to this individual provider in the NPPES registry on August 23, 2024.

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

The NPPES record for Tyler Shanley was last updated on August 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 23, 2024

1128 NW HARRIMAN ST, BEND, OR 97703(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tyler Shanley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER SHANLEY (NPI 1063245165) is an individual mental health provider in Bend, Oregon and active in the NPI registry since August 2024.

NPI1063245165

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTYLER SHANLEY

Location Address1128 NW HARRIMAN STBend, OR 97703-1947

Mailing Address2577 Ne Courtney DriveBend, OR 97701-7638 · (541) 322-7500 · Fax (541) 322-7565

Fax(541) 322-7565

Sole ProprietorNo

Enumeration DateAugust 23, 2024

NPPES CertifiedAugust 23, 2024

✔ NPI 1063245165 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1128 NW HARRIMAN ST, Bend, OR 97703

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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