Individual provider · Type 1 NPI

Tyler Couch, PA-C

Medical Physician Assistant · Salem, OR

NPI number 1629841440 Active

Practice location

925 Commercial St SE Ste 320
Salem, OR 97302-4173

Call (503) 399-8105 Map

Mailing address

12925 SW Village Park Ln
Tigard, OR 97223-7847

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA218066 (OR)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1629841440

Tyler Couch, PA-C's National Provider Identifier is 1629841440, issued on Nov 2, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salem, OR. The record was last updated on Jun 6, 2024.