Individual
DR. TYLER JUSTIN PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664
(360) 828-5396
(360) 828-5455
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 828-5396
(360) 828-5455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD175844
OR
207L00000X
Anesthesiology Physician
Primary
MD60821188
WA
Other
Enumeration date
03/28/2013
Last updated
02/04/2022
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