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

Pediatric Tlc PC

Organization Pediatric Nurse Practitioner · NPI 1548930464

Pediatric Tlc PC is a Pediatric Nurse Practitioner in Grants Pass, Oregon. Registered with an NPI since 2021.

In the registry since
2021
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

1819 Nebraska Ave
Grants Pass, OR 97527-5701
Phone: (541) 479-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X

Record details

NPI number1548930464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yvonne Martenia — Owner · (547) 479-2411
NPI enumeratedSeptember 14, 2021
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address1819 Nebraska Ave, Grants Pass, OR 97527-5701

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