Individual
CHAD TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1023 MAIN ST, SWEET HOME, OR 97386-1515
(541) 255-1234
(877) 414-2298
Mailing address
1023 MAIN ST, SWEET HOME, OR 97386-1515
(541) 255-1234
(877) 414-2298
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA214235
OR
Other
Enumeration date
07/30/2022
Last updated
04/08/2023
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