Mr Tyler Robert Van Wagenen, PA - Physician Assistant in Ontario, OR

Mr Tyler Robert Van Wagenen, PA is a Physician Assistant based in Ontario, Oregon. Mr Tyler Robert Van Wagenen is licensed to practice in * (Not Available) (license number ) and his current practice location is 2327 Sw 4th Ave Ste 1, Ontario, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 889-2340.

NPI number for Mr Tyler Robert Van Wagenen is 1700656352 and his current mailing address is 1441 Ne 10th Ave, Payette, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700656352.

Contact Information

Mr Tyler Robert Van Wagenen, PA
2327 Sw 4th Ave Ste 1,
Ontario, OR 97914-1851
(541) 889-2340
Not Available



Provider's Profile

Full NameMr Tyler Robert Van Wagenen
GenderMale
SpecialityPhysician Assistant
Location2327 Sw 4th Ave Ste 1, Ontario, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700656352
  • Provider Enumeration Date: 01/04/2024
  • Last Update Date: 04/16/2024

Medical Identifiers

Medical identifiers for Mr Tyler Robert Van Wagenen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700656352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tyler Robert Van Wagenen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Tyler Robert Van Wagenen, PA
1441 Ne 10th Ave,
Payette, ID 83661-5420

Ph: (208) 642-9376
Mr Tyler Robert Van Wagenen, PA
2327 Sw 4th Ave Ste 1,
Ontario, OR 97914-1851

Ph: (541) 889-2340

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› Verified 4 days ago


Physician Assistant Nurses in Ontario, OR

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    

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