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Contact Information

KAELA R TYLER
560 QUILEUTE HEIGHTS
LA PUSH, WA98331
 Phone: 360-374-6984
 Fax: 360-374-9049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Therapist

125J00000X
Indicates primary specialty

NPI Profile & details for KAELA R TYLER · (Female)

NPI Number 1679449532
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2025
Last updated 10/16/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • WA License # 25-0004-DHAT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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