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TYLER ROTH LARSON PA-C

PA-C

Physician Assistant

NPI: 1003211103IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

10001988A(IN)50.004194(OH)PA201515(OR)

Education

OTHER

Class of 2014

Contact & Hours

Address
1289 49TH AVE
SWEET HOME, OR 97386

Quick Facts

NPI
1003211103
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
12

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