Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW TISTADT, PA-C
ActivePhysician Assistant · WEST LINN, OR
Registration Details
- NPI Number
- 1831269265
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2006 (19.460820218177 yrs)
- Last Updated
- Jun 12, 2025
- License
-
PA01174 (OR)
Practice Information
- Address
-
21810 WILLAMETTE DR STE 200WEST LINN, OR, 970683287Browse OR providers · Browse ZIP 97068
- Phone
- 5039944353
- Fax
- 5037225100
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST LINN, OR
| Name | Credential | NPI |
|---|---|---|
| KAROLINE WOITKE | PA-C | 1215046172 |
| MS. NINA O'MAILIA | PA-C | 1316116684 |
| MICHAEL BEAUCHAINE | — | 1255672465 |
| BRANDON ROSES | — | 1851812044 |
| ALLISON KARLY EVERSON | PA-C | 1902310667 |
| ALYSON TRENAE GODBEY | PA-S | 1760375380 |
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.