Individual
AMY LYNN TANGEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W BROADWAY ST STE 310, MISSOULA, MT 59802-4003
(406) 728-6520
(406) 329-2799
Mailing address
PO BOX 31001, PASADENA, CA 91110-4110
(406) 728-6520
(406) 329-2799
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
22661
MT
363AS0400X
Surgical Physician Assistant
PA130034
OR
Other
Enumeration date
07/20/2009
Last updated
11/16/2025
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