Provider Demographics
NPI:1811136831
Name:HONEYMAN, TYLER ROBERT SR (DPT)
Entity type:Individual
Prefix:MR
First Name:TYLER
Middle Name:ROBERT
Last Name:HONEYMAN
Suffix:SR
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:4560 SE INTERNATIONAL WAY
Mailing Address - Street 2:STE. 100
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222
Mailing Address - Country:US
Mailing Address - Phone:971-206-5200
Mailing Address - Fax:971-206-5203
Practice Address - Street 1:375 COHASSET RD.
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-343-5595
Practice Address - Fax:530-343-1112
Is Sole Proprietor?:No
Enumeration Date:2009-02-14
Last Update Date:2012-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA33428225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist