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Cheryl C. Tidball Do PC

General Practice Physician in Gresham, OR · enumerated 2007 · authorized official Cheryl Tidball, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578776670

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Registry record

Entity type Organization (Type 2)
Legal business name Cheryl C. Tidball Do PC
Practice address 1217 Ne Burnside Rd, Suite 101, Gresham, OR, 97030
Phone (503) 489-0663
Fax (503) 666-5644
Enumeration date May 7, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License DO19432 (OR) Primary

Authorized official

Name Cheryl Tidball
Title Physician
Phone (503) 489-0663

Other identifiers

Identifier Type State Issuer
203778 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Cheryl C. Tidball Do PC?
Cheryl C. Tidball Do PC is registered in NPPES as a General Practice Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.