Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pediatric Tlc PC

Organization Pediatric Nurse Practitioner · NPI 1548930464

Pediatric Tlc PC provides Pediatric Nurse Practitioner services 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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