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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
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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