Most Relevant Information
Provider Data
| NPI Number: | 1003366808 |
| Provider Name: | TYLER J LIGHT |
| Entity Type: | Individual |
| Taxonomy Code: | 207Y00000X |
| Specialty: | Otolaryngology |
| License Number: | MD208155 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 05/23/2022 |
Provider Practice Location
444 NW ELKS DR
CORVALLIS
OR
973303758
Practice Location Phone/Fax
| Phone: | 5034948311 |
| Fax: |
Provider Mailing Location
444 NW ELKS DR
CORVALLIS
OR
973303745
Provider Mailing Phone/Fax
| Phone: | 5417541150 |
| Fax: |
Suggested EMR
ENT EMR