Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler L Heidt, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912627910

Tyler L Heidt, PA-C is a Physician Assistant in McMinnville, Oregon. Qualified in 2022, 4 years ago. Practices with Willamette Valley Clinics LLC, a 39-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
Specialties on file
2
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

McMinnville, OR
Fax: (503) 434-6290

No coordinates on file. Search this address in Google Maps

Specialties & licences

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

Record details

NPI number1912627910
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 30, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Willamette Valley Clinics Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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