TYLER VAN WAGENEN, PA

PA

Physician Assistant

NPI: 1700656352IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA219187(OR)PA2766(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2023

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Contact & Hours

Address: 2327 SW 4TH AVE
ONTARIO, OR 97914
Phone: (541) 889-2340

Quick Facts

NPI: 1700656352
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 3

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