Cheryl C. Tidball DO PC
NPI 1578776670 · General Practice Physician · Gresham, OR
Cheryl C. Tidball DO PC is a General Practice Physician organization in Gresham, OR (NPI 1578776670).
Provider details
- NPI number
- 1578776670
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Tidball, Physician(503) 489-0663
- License
- DO19432 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Cheryl C. Tidball DO PC's NPI number?
- Cheryl C. Tidball DO PC's National Provider Identifier (NPI) is 1578776670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cheryl C. Tidball DO PC?
- Cheryl C. Tidball DO PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Cheryl C. Tidball DO PC located?
- Cheryl C. Tidball DO PC's practice location on file with NPPES is 1217 Ne Burnside Rd, Gresham, OR 97030-6722.
- What is Cheryl C. Tidball DO PC's phone number?
- The practice phone number listed in the NPPES registry for Cheryl C. Tidball DO PC is (503) 489-0663.
- Who is the authorized official for Cheryl C. Tidball DO PC?
- The authorized official listed on Cheryl C. Tidball DO PC's NPPES record is Cheryl Tidball, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cheryl C. Tidball DO PC's NPI active?
- Yes — Cheryl C. Tidball DO PC's NPI (1578776670) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.