| Mr Tyler R Van Wagenen, PA | |
|
2327 Sw 4th Ave, Ontario, OR 97914-1851 | |
| (541) 889-2340 | |
| Not Available |
| Full Name | Mr Tyler R Van Wagenen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2327 Sw 4th Ave, Ontario, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700656352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tyler R Van Wagenen, PA 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Mr Tyler R Van Wagenen, PA 2327 Sw 4th Ave, Ontario, OR 97914-1851 Ph: (541) 889-2340 |
Brittany Jones, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 840 Sw 4th Ave Ste 105, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 | |
Mr. Kacey L Andreasen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1050 Sw 3rd Ave Ste 1200, Ontario, OR 97914 Phone: 541-889-3111 Fax: 541-889-3999 | |
Miss Amanda Vansant, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Sarah Martinez Cisneros, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2327 Sw 4th Ave, Ontario, OR 97914 Phone: 208-642-7364 | |
Sarah Nicole Wood, PA-C, MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 541-881-2828 | |
Kent Michael Sandquist, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 335 Sw 13th St, Ontario, OR 97914 Phone: 541-889-8410 Fax: 541-889-8093 | |
Katherine Elizabeth Gill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 840 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-2800 |