IndividualActive
Nyle Gunter, PA-C
NPI 1235753815 · Physician Assistant · Boardman, OR
Provider details
- NPI number
- 1235753815
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA200903 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
450 Tatone St
Boardman, OR 97818-8076
Phone: (541) 481-7212
Fax: (541) 481-2020
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 397
Boardman, OR 97818-0397
Registry dates
- Enumerated
- 2020-05-30
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.