Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Tistadt, PA-C

Individual provider Medical Physician Assistant · NPI 1831269265

Andrew Tistadt, PA-C is a Physician Assistant in West Linn, Oregon. Qualified in 2006, 20 years ago. Practices with Holy Family Catholic Clinic P S, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
20
Licensed in
OR
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

21810 Willamette Dr Ste 200
West Linn, OR 97068-3287
Phone: (503) 994-4353
Fax: (503) 722-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01174 (OR)

Record details

NPI number1831269265
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Holy Family Catholic Clinic P S — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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