ANDREW TISTADT

WEST LINN, OR
NPI1831269265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01174)
Enumeration Date2006-11-09
Last Update Date2025-06-12
Business Address
ANDREW TISTADT PA-C
21810 WILLAMETTE DR STE 200
WEST LINN, OR 97068-3287
Phone number: 503-994-4353
Mailing Address
ANDREW TISTADT PA-C
21810 WILLAMETTE DR STE 200
WEST LINN, OR 97068-3287
Phone number: 503-994-4353
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