Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RYAN CHRISTIAN JENNINGS-TIDWELL
Active Sole ProprietorRYAN CHRISTIAN JENNINGS-TIDWELL is a In Home Supportive Care Agency healthcare provider located in TROUTDALE, Oregon. NPI 1417622069 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · TROUTDALE, OR
Registration Details
- NPI Number
- 1417622069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2021 (5.0329976434447 yrs)
- Last Updated
- Aug 14, 2021
- License
-
854291 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1042 SE 30TH PLTROUTDALE, OR, 970609456Browse OR providers · Browse ZIP 97060
- Phone
- 5036189668
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.