CHERYL C. TIDBALL DO PC
Organization (NPI-2)
Active
General Practice
Provider Information
- NPI Number
1578776670- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1217 NE BURNSIDE RD SUITE 101, GRESHAM, OR, 970306722
- Phone
- (503) 489-0663
- Fax
- (503) 666-5644
Specialties & Taxonomies
General Practice
Primary License: OR #DO19432