Individual provider · Type 1 NPI

Tyler O. Stutzman, PA-C

Physician Assistant · Salem, OR

NPI number 1124448964 Active

Practice location

890 Oak St SE Bldg A
Salem, OR 97301-3905

Call (503) 814-1280 Map

Fax (503) 814-1070

Mailing address

271 Fort Richardson Ave
Goodfellow Afb, TX 76908-4901

Other practice locations

  • 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 · (325) 654-3677

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA225085 (OR)
Physician Assistant Primary 363A00000X0110005595 (VA)

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…

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About NPI 1124448964

Tyler O. Stutzman, PA-C's National Provider Identifier is 1124448964, issued on Apr 20, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salem, OR. The record was last updated on Jun 15, 2025.