ROBERT JOHN TILLEY

Address: 12720 Sw Pacific Hwy Ste 1, Tigard, OR 97223-6125
Phone: 5039746170

ROBERT JOHN TILLEY (NPI# 1114044393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114044393
Entity Type 1 - Individual
Full Name ROBERT JOHN TILLEY
Credential M.D.
Practice Address 12720 Sw Pacific Hwy Ste 1
Tigard
OR 97223-6125
Mailing Address 12720 Sw Pacific Hwy #1
Tigard
OR 97223-6125
Practice Telephone 5039746170
Practice Fax Number 5032087198
Enumeration Date 03/23/2007
Last Update Date 11/02/2012
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 14698 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 12720 SW PACIFIC HWY STE 1
City TIGARD
State OR
Zip Code 97223-6125

Providers with the same location

NPI Name Address
1821379223 AFFORDABLE HEALTH CLINICS 12720 Sw Pacific Hwy Ste 1, Tigard, OR 97223-6125
1801296447 INHOUSEDOC 12720 Sw Pacific Hwy Ste 1, Tigard, OR 97223-6125

Competitor

Search similar physicians

City TIGARD
Zip Code 97223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.