Cheryl C. Tidball Do Pc - Primary Care in Gresham, OR

Cheryl C. Tidball Do Pc is a primary clinic (General Practice) in Gresham, Oregon. The current practice location for Cheryl C. Tidball Do Pc is 1217 Ne Burnside Rd, Suite 101, Gresham, Oregon. For appointments, you can reach them via phone at (503) 489-0663. The mailing address for Cheryl C. Tidball Do Pc is 1217 Ne Burnside Rd, Suite 101, Gresham, Oregon and phone number is (503) 489-0663.

Cheryl C. Tidball Do Pc is licensed to practice in Oregon (license number DO19432) and its NPI number is 1578776670. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (503) 489-0663.

Contact Information

Cheryl C. Tidball Do Pc
1217 Ne Burnside Rd
Suite 101
Gresham
OR 97030-6722
(503) 489-0663
(503) 666-5644

Primary Care Clinic Profile

Full NameCheryl C. Tidball Do Pc
SpecialityGeneral Practice
Location1217 Ne Burnside Rd, Gresham, Oregon
Authorized Official Name and PositionCheryl C. Tidball (PHYSICIAN)
Authorized Official Contact5034890663
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cheryl C. Tidball Do Pc
1217 Ne Burnside Rd
Suite 101
Gresham
OR 97030-6722

Ph: (503) 489-0663
Cheryl C. Tidball Do Pc
1217 Ne Burnside Rd
Suite 101
Gresham
OR 97030-6722

Ph: (503) 489-0663

NPI Details:

NPI Number1578776670
Provider Enumeration Date05/07/2007
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Cheryl C. Tidball Do Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578776670NPI-NPPES
203778MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice DO19432 (Oregon)Primary

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