Tyson Lee Langeliers, PA-C, ATC, LAT

Individual provider Athletic Trainer · NPI 1861429482

Tyson Lee Langeliers, PA-C, ATC, LAT is a Physician Assistant in LA Pine, Oregon. Qualified in 2017, 9 years ago. Practices with La Pine Community Health Center, a 13-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying: 9
Licensed in: ID
In the registry since: 2006
Specialties on file: 2

What do these letters mean?

PA-C — Physician Assistant, Certified: A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer: Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer: A state-licensed athletic trainer.

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Practice location Address checks out

51600 Huntington Rd
LA Pine, OR 97739
Phone: (541) 536-3435

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

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X
Athletic Trainer	Taxonomy 2255A2300X · Licence AT-223 (ID)

Record details

NPI number	1861429482
Entity type	Individual (Type 1)
Gender	Male
Credentials	PA-C , ATC , LAT
Sole proprietor	No
NPI enumerated	June 27, 2006
Last updated in NPPES	July 12, 2018

Medicare enrollment

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

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2017 (9 years in practice)
Group practice	La Pine Community Health Center — 13 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare