Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN ALAN TIDWELL, DPM
Active Sole ProprietorJUSTIN ALAN TIDWELL, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in PORTLAND, Oregon. NPI 1710908892 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · PORTLAND, OR
Registration Details
- NPI Number
- 1710908892
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2006 (20.021963709953 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
PO00000806 (WA)DP00373 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
501 N GRAHAM STSUITE 415PORTLAND, OR, 972271654Browse OR providers · Browse ZIP 97227
- Phone
- 5034132005
- Fax
- 5034133699
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Other Foot & Ankle Surgery Podiatrist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| PAUL CLINT JONES | D.P.M. | 1174519359 |
| CLIFFORD DONALD MAH | D.P.M. | 1962454934 |
| THOMAS R PALMER | DPM | 1982647467 |
| DR. JARED KEITH REMMERS | D.P.M. | 1932112463 |
| DR. ERIC DAVID EVANS | D.P.M | 1700899051 |
| THOMAS CHARLES MELILLO | DPM | 1619085479 |
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.