MS. MONICA MARY TIDWELL RN NPI 1306199575

NPI Information

  • NPI: 1306199575
  • Provider Name: MS. MONICA MARY TIDWELL, RN
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 4531 SE BELMONT ST
    SUITE 100
    PORTLAND, OR
    ZIP 97215
  • Phone: (503) 215-6556

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NPI Details

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
1163WC1500XRegistered NurseCommunity Health086000069RNOREGONYes

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: 3/30/2025

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