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Tyson Pendery
NPI 1376066597 · Mental Health Counselor · Portland, OR
Tyson Pendery is a Mental Health Counselor provider in Portland, OR (NPI 1376066597).
Provider details
- NPI number
- 1376066597
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12505 Se Raymond St
Portland, OR 97236-3931
Phone: (503) 760-8300
Fax: (503) 760-8308
Street-level locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2017-07-19
Frequently asked questions
- What is Tyson Pendery's NPI number?
- Tyson Pendery's National Provider Identifier (NPI) is 1376066597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyson Pendery's specialty?
- Tyson Pendery is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tyson Pendery located?
- Tyson Pendery's practice location on file with NPPES is 12505 Se Raymond St, Portland, OR 97236-3931.
- What is Tyson Pendery's phone number?
- The practice phone number listed in the NPPES registry for Tyson Pendery is (503) 760-8300.
- Is Tyson Pendery's NPI active?
- Yes — Tyson Pendery's NPI (1376066597) is active in the NPPES registry as of the last update on 2017-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.