Individual provider · Type 1 NPI
Andrew Tistadt, PA-C
Medical Physician Assistant · West Linn, OR
NPI number
1831269265
Active
Practice location
21810 Willamette Dr Ste 200
West Linn, OR 97068-3287
Fax (503) 722-5100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA01174 (OR) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in West Linn
About NPI 1831269265
Andrew Tistadt, PA-C's National Provider Identifier is 1831269265, issued on Nov 9, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Linn, OR. The record was last updated on Mar 12, 2026.