Individual
KEVIN J TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
940 ROYAL AVE, SUITE 420, MEDFORD, OR 97504-6193
(541) 732-8388
(541) 732-8387
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-8388
(541) 732-8387
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA168083
OR
Other
Enumeration date
05/13/2014
Last updated
11/12/2021
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