Individual
ROBERT JOHN TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12720 SW PACIFIC HWY STE 1, TIGARD, OR 97223-6125
(503) 974-6170
(503) 208-7198
Mailing address
12720 SW PACIFIC HWY #1, TIGARD, OR 97223-6125
(503) 974-6170
(503) 208-7198
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14698
OR
Other
Enumeration date
03/23/2007
Last updated
11/02/2012
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