Individual
MR. TYLER LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1119 HIGHLAND AVE STE 4, CLARKSTON, WA 99403-2836
(509) 254-0080
(509) 254-0079
Mailing address
1119 HIGHLAND AVE STE 4, CLARKSTON, WA 99403-2836
(509) 254-0080
(509) 254-0079
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003435
WA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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