Individual provider · Type 1 NPI
Tyler Laurent, CSFA
Surgical Physician Assistant · Fairview, OR
NPI number
1841942927
Active
Practice location
740 Main St
Fairview, OR 97024-1909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | 204464 (OR) |
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1841942927
Tyler Laurent, CSFA's National Provider Identifier is 1841942927, issued on Jan 20, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fairview, OR. The record was last updated on Jan 22, 2022.