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

Mr. Tyler Lee Anderson, PA-C

Individual provider Medical Physician Assistant · NPI 1083927792

Mr. Tyler Lee Anderson, PA-C is a Medical Physician Assistant in Clarkston, Washington. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1119 Highland Ave Ste 4
Clarkston, WA 99403-2836
Phone: (509) 254-0080
Fax: (509) 254-0079
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 PA10003435 (WA)

Record details

NPI number1083927792
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2010
Last updated in NPPESJuly 22, 2010

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