ANDREW TISTADT

TIGARD, OR
NPI1831269265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01174)
Enumeration Date2006-11-09
Last Update Date2021-09-20
Business Address
ANDREW TISTADT PA-c
18040 SW LOWER BOONES FERRY RD STE 304
TIGARD, OR 97224-7258
Phone number: 503-216-0700
Mailing Address
ANDREW TISTADT PA-c
PO BOX 6149
ALOHA, OR 97007-0149
Phone number: 503-352-8657
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