MS. MONICA MARY TIDWELL RN NPI 1306199575

NPI Information

NPI: 1306199575
Provider Name: MS. MONICA MARY TIDWELL, RN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
4531 SE BELMONT ST
SUITE 100
PORTLAND, OR
ZIP 97215
Phone: (503) 215-6556
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MS. Monica Mary Tidwell, RN is a community health registered nurse in Portland, OR. MS. Monica Mary Tidwell, RN NPI is 1306199575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4531 SE BELMONT ST
SUITE 100
PORTLAND, OR
ZIP 97215-675
Phone: (503) 215-6556

The enumeration date for this NPI number is 10/24/2012 and was last updated on 10/24/2012.

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	163WC1500X	Registered Nurse	Community Health	086000069RN	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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