Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CHERYL C. TIDBALL DO PC
Active
Organization
CHERYL C. TIDBALL DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL C. TIDBALL D.O. (PHYSICIAN)
(503) 489-0663
Entity
Organization
Contact information
Practice address
1217 NE BURNSIDE RD, SUITE 101, GRESHAM, OR 97030-6722
(503) 489-0663
(503) 666-5644
Mailing address
1217 NE BURNSIDE RD, SUITE 101, GRESHAM, OR 97030-6722
(503) 489-0663
(503) 666-5644
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DO19432
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203778
—
OR
Enumeration date
05/07/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers