Individual
TYLER DUANE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1433 SE 1ST AVE, CANBY, OR 97013-6768
(503) 525-7600
Mailing address
1233 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 378-7526
(503) 588-5815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA185298
OR
363AM0700X
Medical Physician Assistant
PA185298
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2016
Last updated
03/10/2025
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