Tyler Bennink

Case Manager/Care Coordinator · Astoria, OR

Individual Active NPI

NPI number 1003428640

Practice location

413 Gateway Ave
Astoria, OR 97103-6032
Phone
(503) 325-5722

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NPI record

NPI
1003428640
Entity type
Individual (Type 1)
Enumeration date
August 17, 2020
Last updated
May 6, 2025
Certified
May 6, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Behavior Technician 106S00000X — —
Community Health Worker 172V00000X — —

Mailing address

65 N Highway 101 Ste 204
Warrenton, OR 97146-9371

About Tyler Bennink

Tyler Bennink is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 413 Gateway Ave, Astoria, OR 97103-6032. The NPI number 1003428640 was assigned on August 17, 2020 and the record was last updated on May 6, 2025.

Frequently asked questions

What is the NPI number of Tyler Bennink?

The NPI number is 1003428640.

What is the phone number of Tyler Bennink?

The phone number listed for the practice location is (503) 325-5722.

Where is Tyler Bennink located?

413 Gateway Ave, Astoria, OR 97103-6032.

What is the taxonomy code for Tyler Bennink?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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