Individual
ANDREW MARK TIJERINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
Mailing address
495 SW RAMSEY AVE, GRANTS PASS, OR 97527-5681
(541) 476-6644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
04/29/2022
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