Cheryl C. Tidball Do PC
Cheryl C. Tidball Do PC is a healthcare organization registered as General Practice Physician in Gresham, OR, holding Type 2 (organization) NPI 1578776670 since 2007. The authorized official on file is Cheryl Tidball, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578776670 |
|---|---|
| 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 | 5034890663 |
| Fax | 5036665644 |
| Enumeration date | 2007-05-07 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Cheryl Tidball |
|---|---|
| Title | Physician |
| Phone | 5034890663 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | DO19432 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203778 | Medicaid | OR | — |
Copy-ready billing details
Provider: Cheryl C. Tidball Do PC NPI: 1578776670 Taxonomy: 208D00000X (General Practice Physician) Address: 1217 NE BURNSIDE RD, SUITE 101, Gresham, OR, 97030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376541995 | Richard Phipps | Individual | Dermatology Physician | Gresham, OR |
| 1386630010 | Brian Knight Do LLC | Organization | Neuromusculoskeletal Medicine & OMM Physician | Gresham, OR |
| 1831186774 | Brian Knight | Individual | Neuromusculoskeletal Medicine & OMM Physician | Gresham, OR |
| 1558352047 | Eric Strand | Individual | Acupuncturist | Gresham, OR |
| 1326011370 | Lloyd Chang | Individual | General Practice Dentistry | Gresham, OR |
| 1245322601 | Douglas Hicks | Individual | Clinical Psychologist | Gresham, OR |
| 1992897490 | Peter Wilson | Individual | Clinical Psychologist | Gresham, OR |
| 1366535643 | Anne Wehrli | Individual | Professional Counselor | Gresham, OR |
Verify this record
Cross-check NPI 1578776670 against the authoritative CMS record: view Cheryl C. Tidball Do PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Cheryl C. Tidball Do PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.