NPI 1629704671

Chad Tyler, PAC

Practitioner Physician Assistant Sweet Home, OR

Practice location

Address: 1023 Main St, Sweet Home, OR 97386-1515
Phone: (541) 255-1234
Fax: (877) 414-2298

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA214235 (OR)

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Registry record

NPI: 1629704671
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2022
Record last updated: 8 Apr 2023

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.