Individual provider · Type 1 NPI

Tyler Jay Peake, PA-C

Physician Assistant · Vancouver, WA

NPI number 1184067951 Active

Practice location

3101 SE 192nd Ave Ste 106
Vancouver, WA 98683-1443

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 19005 SE 34th St, Vancouver, WA 98683-1450 · (360) 726-6720
  • 3181 SW Sam Jackson Park Rd # GH219, Portland, OR 97239-3011 · (503) 494-1484

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA60517964 (WA)

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…

5 other providers at this address

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About NPI 1184067951

Tyler Jay Peake, PA-C's National Provider Identifier is 1184067951, issued on Apr 11, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 28, 2022.