TYLER JUSTISE KNAUTZ

BAKER CITY, OR
NPI1417713900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  pending)
Enumeration Date2024-02-22
Last Update Date2024-02-22
Business Address
TYLER JUSTISE KNAUTZ
3600 13TH ST
BAKER CITY, OR 97814-1346
Phone number: 541-523-9559
Mailing Address
TYLER JUSTISE KNAUTZ
3425 13TH ST
BAKER CITY, OR 97814-1340
Phone number: 541-523-7400
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