Andrew Tistadt, PA-C

NPI #1831269265 in West Linn, Oregon

Provider Information

NPI Number: 1831269265
Entity Type: Individual
Name: Andrew Tistadt, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 9, 2006
Last Updated: Jun 12, 2025

Practice Location

Address: 21810 WILLAMETTE DR STE 200
City: West Linn
State: Oregon
ZIP Code: 97068-3287
Phone: (503) 994-4353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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