Whalio Doctors

NPI 1407203144

Tyler Duane Little, PAC

Practitioner Physician Assistant Canby, OR

Practice location

Address
1433 SE 1st Ave, Canby, OR 97013-6768
Phone
(503) 525-7600
Mailing address
1233 Edgewater St NW, Salem, OR 97304-4049

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA185298 (OR)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA185298 (OR)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1407203144
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2016
Record last updated
10 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.