CHERYL C. TIDBALL DO PC

General Practice

Active Organization
NPI: 1578776670

Practice Address

1217 NE BURNSIDE RD
SUITE 101
Gresham, OR 97030

Phone: (503) 489-0663

Specialties

Specialty Code Primary License
General Practice 208D00000X Yes DO19432 (OR)

Frequently Asked Questions

NPI 1578776670 is the National Provider Identifier for CHERYL C. TIDBALL DO PC, a General Practice provider located in Gresham, OR. This NPI was enumerated on May 7, 2007.

Quick Facts

NPI
1578776670
Type
Organization
Enumerated
May 7, 2007
Last Updated
Aug 22, 2020

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