Provider Demographics
NPI:1841067014
Name:LORDS, TYLER BRIAN (LCSW)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:BRIAN
Last Name:LORDS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 NW RACHEL ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-3041
Mailing Address - Country:US
Mailing Address - Phone:801-368-2400
Mailing Address - Fax:
Practice Address - Street 1:152 NW RACHEL ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-3041
Practice Address - Country:US
Practice Address - Phone:801-368-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-5111-01041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical