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ANDREW TISTADT, PA-C
PA-C
Physician Assistant
NPI: 1831269265IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA01174(OR)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2006
Contact & Hours
- Address
- 21810 WILLAMETTE DR STE 200
WEST LINN, OR 97068 - Phone
- (503) 994-4353
Quick Facts
- NPI
- 1831269265
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 20
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