| Tyler Jay Peake, PA-C | |
|
3101 Se 192nd Ave Ste 106, Vancouver, WA 98683-1443 | |
| (360) 553-7400 | |
| Not Available |
| Full Name | Tyler Jay Peake |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 3101 Se 192nd Ave Ste 106, Vancouver, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184067951 | NPI | - | NPPES |
| 1184067951 | Medicaid | WA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1344 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Jay Peake, PA-C Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Tyler Jay Peake, PA-C 3101 Se 192nd Ave Ste 106, Vancouver, WA 98683-1443 Ph: (360) 553-7400 |
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