Tyler Van Wagenen, PA

NPI 1700656352 · on the registry since 2024 · sole proprietor

Practice

Address: 2327 Sw 4th Ave
Ontario, OR 97914
Phone: (541) 889-2340
Organisation at this address: Valley Family Health Care, Inc
Valley Family Health Care, Inc
Valley Family Health Care, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Physician Assistant
Licence states on file: OR, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon