Tyler Yates

M.D. | Pediatric Allergy-Immunology | Male

---

Complete Profile:

Tyler Yates basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Allergy/Immunology
Provider Name :	Tyler Yates
Credential :	M.D.
Gender :	Male

Business Address:

Tyler Yates address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3181 Sw Sam Jackson Park Rd Portland, OR, 97239-3011 United States
Phone Number :	503-418-5747
Fax Number :	503-494-4953

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1649699711
NPI Entity Type :	Individual
First Enrolment Date :	15 Apr, 2014
Last Updated On :	21 Aug, 2019

Medicare Participation:

Tyler Yates participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0446588446
Medicare Enrollment ID :	I20190829001860
Primary Specialty :	Pediatric Medicine
Medical School :	Georgetown University School Of Medicine
Graduation Year :	2014
Accepts Medicare?	Yes. Tyler Yates accepts medicare insurance.

Group Practice Association:

Tyler Yates is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tyler Yates is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Oregon Health And Sciences University/university Medical Group	4880760107	1435	3181 Sw Sam Jackson Park Rd Portland, OR - 972393011 Ph: 5034948311	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyler Yates are as mentioned. Primary taxonomy code for Tyler Yates, M.D. is 2080P0201X (Pediatrics Pediatric Allergy/Immunology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0201X	Pediatrics Pediatric Allergy/Immunology	Yes	MD192138	OR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3181 Sw Sam Jackson Park Rd Portland, OR, 97239-3011 United States
Phone Number :	503-418-5747
Fax Number :	503-494-4953

Business Location:

Patients can refer following map for directions to Tyler Yates practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.