Active NPIIndividual provider

Tyler Couch, PA-C

Physician Assistant, Medical in Salem, Oregon

NPI Number1629841440
Practice location
925 Commercial St SE Ste 320, Salem, OR 97302-4173
Fax
—
Last updated
June 6, 2024

Tyler Couch, PA-C is a Physician Assistant, Medical based in Salem, OR. Tyler Couch, PA-C holds the professional credentials of PA-C. The NPI number for Tyler Couch, PA-C is 1629841440 and holds license No. PA218066 (OR). The current practice location address is 925 Commercial St SE Ste 320, Salem, OR 97302-4173 and the office can be reached by phone at 503-399-8105. The NPI was assigned on November 2, 2023 and the record was last updated in NPPES on June 6, 2024.

●Provider Profile Details

NPI Number
1629841440
Provider Name
Tyler Couch
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Enumeration Date
November 2, 2023
Last Update Date
June 6, 2024
Certification Date
June 6, 2024
NPI Status
Active

◉Business Practice Location Address

Address
925 Commercial St SE Ste 320
Salem, OR 97302-4173
City
Salem
State
Oregon
ZIP
97302-4173
Country
US
Phone Number
503-399-8105

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✉Business Mailing Address

Address
12925 SW Village Park Ln
Tigard, OR 97223-7847
City
Tigard
State
OR
ZIP
97223-7847

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant, Medical363AM0700XYesPA218066OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Tyler Couch, PA-C?

The NPI number of Tyler Couch, PA-C is 1629841440. It was assigned on November 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Tyler Couch, PA-C?

Tyler Couch, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X) and holds license No. PA218066 (OR).

Where does Tyler Couch, PA-C practice?

The practice location is 925 Commercial St SE Ste 320, Salem, OR 97302-4173. The office can be reached at 503-399-8105 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629841440 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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