TYE DEWALD

MILWAUKIE, OR
NPI1982175378
Former NameCARLEIGH DEWALD
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2018-12-10
Last Update Date2018-12-10
Business Address
TYE DEWALD
11073 SE MAIN ST
MILWAUKIE, OR 97222-7645
Phone number: 503-592-3204
Mailing Address
TYE DEWALD
21356 HUBBARD CUTOFF RD NE UNIT 9
AURORA, OR 97002-8401
Phone number: 503-592-3204