Jagelski, Tyrell

Jagelski, Tyrell is an individual health care provider with primary practice located at 1003 Providence Dr Ste 110 , Newberg OR 97132-7521. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jagelski, Tyrell can be contacted via phone (503) 537-5900.

Contact Information

Primary practice address
1003 Providence Dr Ste 110 Newberg OR 97132-7521
Phone: (503) 537-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA190255 Oregon

Profile Details

NPI number 1346799632
LBN Legal business name Jagelski, Tyrell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2016
Last updated Oct 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346799632 NPPES
Oregon MEDICAID 500754485

Popular Providers