Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cheryl C. Tidball DO PC

Organization General Practice Physician · NPI 1578776670

Cheryl C. Tidball DO PC is a General Practice Physician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1217 NE Burnside Rd Ste 101
Gresham, OR 97030-6722
Phone: (503) 489-0663
Fax: (503) 666-5644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence DO19432 (OR)

Record details

NPI number1578776670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Tidball — Physician · (503) 489-0663
NPI enumeratedMay 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1217 Ne Burnside Rd, Suite 101, Gresham, OR 97030-6722

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