Provider Demographics
NPI:1811257272
Name:WHYGLE, TYLER GREGORY (CFY-SLP)
Entity type:Individual
Prefix:MR
First Name:TYLER
Middle Name:GREGORY
Last Name:WHYGLE
Suffix:
Gender:M
Credentials:CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7803 SE RAMONA ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-5866
Mailing Address - Country:US
Mailing Address - Phone:971-218-2627
Mailing Address - Fax:
Practice Address - Street 1:3500 12TH ST
Practice Address - Street 2:
Practice Address - City:TILLAMOOK
Practice Address - State:OR
Practice Address - Zip Code:97141-2637
Practice Address - Country:US
Practice Address - Phone:971-354-4267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-20
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist