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

Tyler O Stutzman, PA-C

Individual provider Physician Assistant · NPI 1124448964

Tyler O Stutzman, PA-C is a Physician Assistant in Salem, Oregon. Graduated from University of Nebraska College of Medicine in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Virginia.

Years since qualifying
11
Trained at
University of Nebraska College of Medicine
Licensed in
OR, VA
In the registry since
2014
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

890 Oak St SE Bldg A
Salem, OR 97301-3905
Phone: (503) 814-1280
Fax: (503) 814-1070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 — (325) 654-3677

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005595 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA225085 (OR)

Record details

NPI number1124448964
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2014
Last updated in NPPESJune 15, 2025
Certification dateJune 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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