RICHARD LEE TILLMAN NPI 1417957010

NPI Information

NPI: 1417957010
Provider Name: RICHARD LEE TILLMAN
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
833 SW 11TH AVE
SUITE 600
PORTLAND, OR
ZIP 97205
Phone: (503) 223-9725
Get Directions

Richard Lee Tillman is a general practice dentist in Portland, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Richard Lee Tillman NPI is 1417957010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

833 SW 11TH AVE
SUITE 600
PORTLAND, OR
ZIP 97205-125
Phone: (503) 223-9725

The enumeration date for this NPI number is 7/26/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	4466	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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