Individual
TYLER O STUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
890 OAK ST SE BLDG A, SALEM, OR 97301-3905
(503) 814-1280
(503) 814-1070
Mailing address
271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 76908-4901
(325) 654-3677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005595
VA
363A00000X
Physician Assistant
PA225085
OR
Other
Enumeration date
04/20/2014
Last updated
06/15/2025
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