Individual
TYLER SCOTT MITTELSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD-MPH
Contact information
Practice address
1510 DIVISION ST STE 210, OREGON CITY, OR 97045-1599
(503) 723-6525
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD183147
OR
Other
Enumeration date
04/12/2012
Last updated
06/09/2023
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