IndividualActive
Tylan Rogers
NPI 1891165924 · Physician Assistant · Ephrata, WA
Provider details
- NPI number
- 1891165924
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1129014 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
28 K St Ne
Ephrata, WA 98823-1746
Phone: (808) 359-3145
Approximate (ZIP-level) locationGet directions
Mailing address
28 K St Ne
Ephrata, WA 98823-1746
Registry dates
- Enumerated
- 2015-10-01
- Last updated
- 2015-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.