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

Tyler Jay Peake, PA-C

Individual provider Physician Assistant · NPI 1184067951

Tyler Jay Peake, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2014, 12 years ago. Practices with Peacehealth, a 248-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2013
Specialties on file
3
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

3101 SE 192nd Ave Ste 106
Vancouver, WA 98683-1443
Phone: (360) 553-7400
Show map & directions

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

Additional practice locations (2)

  • 3181 Sw Sam Jackson Park Rd # Gh219, Portland, OR 97239-3011 — (503) 494-1484
  • 19005 Se 34th St, Vancouver, WA 98683-1450 — (360) 726-6720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60517964 (WA)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184067951
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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