Andrew Mark Tijerina

NPI #1619590221 in Grants Pass, Oregon

Provider Information

NPI Number: 1619590221
Entity Type: Individual
Name: Andrew Mark Tijerina
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 19, 2020
Last Updated: Apr 29, 2022

Practice Location

Address: 495 SW RAMSEY AVE
City: Grants Pass
State: Oregon
ZIP Code: 97527-5681
Phone: (541) 476-6644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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