Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER ROTH LARSON, PA-C
ActiveTYLER ROTH LARSON, PA-C is a Physician Assistant healthcare provider located in SWEET HOME, Oregon. NPI 1003211103 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SWEET HOME, OR
Registration Details
- NPI Number
- 1003211103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2014 (11.643239866357 yrs)
- Last Updated
- Nov 27, 2023
- Licenses
-
10001988A (IN)50.004194 (OH)PA201515 (OR)
Practice Information
- Address
-
1289 49TH AVESWEET HOME, OR, 97386Browse OR providers · Browse ZIP 97386
- Phone
- 5414516250
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SWEET HOME, OR
| Name | Credential | NPI |
|---|---|---|
| MS. KATHLEEN J. THOMPSON | PA-C | 1629004619 |
| KRIS HELPHINSTINE | PA-C | 1053683375 |
| CHAD TYLER | PA-C | 1629704671 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.