Individual provider · Type 1 NPI

Monica Mary Tidwell, RN

Community Health Registered Nurse · Portland, OR

NPI number 1306199575 Active

Practice location

4531 SE Belmont St, Suite 100
Portland, OR 97215-1675

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X086000069RN (OR)

Community Health Registered Nurse: Definition to come...

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About NPI 1306199575

Monica Mary Tidwell, RN's National Provider Identifier is 1306199575, issued on Oct 24, 2012. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Portland, OR. The record was last updated on Oct 24, 2012.