Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYLER LEE ANDERSON, PA-C
ActiveMR. TYLER LEE ANDERSON, PA-C is a Medical Physician Assistant healthcare provider located in CLARKSTON, Washington. NPI 1083927792 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CLARKSTON, WA
Registration Details
- NPI Number
- 1083927792
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2010 (16.068069846367 yrs)
- Last Updated
- Jul 22, 2010
- License
-
PA10003435 (WA)
Practice Information
- Address
-
1119 HIGHLAND AVE STE 4CLARKSTON, WA, 994032836Browse WA providers · Browse ZIP 99403
- Phone
- 5092540080
- Fax
- 5092540079
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.