Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 26508 | NE |
NPI | 1245559665 |
---|---|
Provider Name | Dr. Tyler R Reese |
First Address | Tacoma, WA 98431-0001 |
Second Address | Tacoma, WA 98431-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2010 |
Last Update Date | 23/04/2020 |