MRS. SUSAN CHANDLER TYLER CBS, DIPLOMATE, CNC
NPI 1194050831
Specialist in Glide, OR

Active since October 14, 2009
268 NEW BRIDGE RD, GLIDE, OR 97443(541) 733-4207(888) 629-4949 Get Directions Write a Review

NPPES record last updated: October 14, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Susan Chandler Tyler Cbs, Diplomate, Cnc NPPES

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

MRS. SUSAN CHANDLER TYLER CBS, DIPLOMATE, CNC (NPI 1194050831) is an individual specialist in Glide, Oregon, licensed in North Carolina (CERTIFICATE 3592 DQT) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1194050831
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. SUSAN CHANDLER TYLERCredential: CBS, DIPLOMATE, CNC
Location Address268 NEW BRIDGE RDGlide, OR 97443-9609
Mailing Address268 New Bridge RdGlide, OR 97443-9609 · (541) 733-4207 · Fax (888) 629-4949
Fax(888) 629-4949
Sole ProprietorNo
Enumeration DateOctober 14, 2009
NPI 1194050831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in NC · CERTIFICATE 3592 DQT Licensed in NC · SHC 1073 Licensed in NC · CERTIFICATE 3592 QBS
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X · License CERTIFICATION ONLY (CA)
268 NEW BRIDGE RD, Glide, OR 97443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194050831, enumerated as an "individual" on October 14, 2009.

The provider is located at 268 NEW BRIDGE RD GLIDE, OR 97443 and the phone number is (541) 733-4207.

Specialist with taxonomy code 174400000X.