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

Tyler Roth Larson, PA-C

Individual provider Physician Assistant · NPI 1003211103

Tyler Roth Larson, PA-C is a Physician Assistant in Sweet Home, Oregon. Qualified in 2014, 12 years ago. Practices with McKenzie Physician Services LLC, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Licensed in
OR
In the registry since
2014
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

1289 49th Ave
Sweet Home, OR 97386
Phone: (541) 451-6250
Show map & directions

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

Additional practice locations (1)

  • 1460 G St, Springfield, OR 97477-4112 — (541) 726-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA201515 (OR)

Record details

NPI number1003211103
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2014
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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 McKenzie Physician Services Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sweet Home