TYLER A MOSTUL

POHALA CLINIC PC

Dr TYLER A MOSTUL is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.

Contact

POHALA CLINIC PC

7477 SE 52ND AVE
PORTLAND
OR
972068206

Tel: 5035724196

TYLER A MOSTUL Information

Npi 1477062362
Pac Id 0547593717
Professional Enrollment Id I20190604001596
Last Name MOSTUL
First Name TYLER
Middle Name A
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name POHALA CLINIC PC
Group Practice Pac Id 1254618655
Number Of Group Practice Members 4
Line 1 Street Address 7477 SE 52ND AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PORTLAND
State OR
Zip Code 972068206
Phone Number 5035724196
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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