Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYLER DALLIN BOULTER, MD
ActiveOphthalmology · PORTLAND, OR
Registration Details
- NPI Number
- 1730683970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2018 (8.1008037136179 yrs)
- Last Updated
- Jun 20, 2023
- Licenses
-
22178 (NH)MD215593 (OR)
Practice Information
- Address
-
9135 SW BARNES RD STE 961PORTLAND, OR, 972256699Browse OR providers · Browse ZIP 97225
- Phone
- 5032920848
- Fax
- 5032960635
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ELIZABETH K DONOHUE | MD | 1316941917 |
| DR. IRVIN LEWIS HANDELMAN | M.D. | 1124022587 |
| DR. MARK ANTHONY PETERS | M.D. | 1346245586 |
| DR. RICHARD FREDERICK DREYER | M.D. | 1255336491 |
| DR. GILBERT C CHILD | MD | 1205838877 |
| DR. MARTIN J BALISH | MD | 1548262173 |
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.