Individual
TYSON JARAD DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2423 NW TROOST ST, ROSEBURG, OR 97471-1706
(541) 677-3400
(541) 677-3405
Mailing address
2423 NW TROOST ST, ROSEBURG, OR 97471-1706
(541) 677-3400
(541) 677-3405
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
PA218944
OR
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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