Individual provider · Type 1 NPI

Tyler Roth Larson, PA-C

Physician Assistant · Sweet Home, OR

NPI number 1003211103 Active

Practice location

1289 49th Ave
Sweet Home, OR 97386

Call (541) 451-6250 Map

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations

  • 1460 G St, Springfield, OR 97477-4112 · (541) 726-4000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA201515 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

7 other providers at this address

Other physician assistant providers in Sweet Home

See all in Sweet Home →

About NPI 1003211103

Tyler Roth Larson, PA-C's National Provider Identifier is 1003211103, issued on Oct 31, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sweet Home, OR. The record was last updated on Jun 11, 2026.