Individual provider · Type 1 NPI

Mark Tyrrell, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1124416946 Active

Practice location

202 NW 13th Ave
Portland, OR 97209-2953

Call (503) 684-8252 Map

Mailing address

19075 NW Tanasbourne Dr, Ste 200
Hillsboro, OR 97124-5860

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA170880 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1124416946

Mark Tyrrell, PA-C's National Provider Identifier is 1124416946, issued on Dec 31, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 31, 2014.