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

Dr. Tyler Dallin Boulter, MD

Individual provider Ophthalmology Physician · NPI 1730683970

Dr. Tyler Dallin Boulter, MD is an Ophthalmology in Portland, Oregon. Graduated from Texas a & M University System, Hsc, College of Medicine in 2018, 8 years ago. Practices with Eye Health Northwest PC, a 70-clinician group and accepts Medicare assignment. Licensed in New Hampshire and Oregon.

Years since qualifying
8
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
NH, OR
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9135 SW Barnes Rd Ste 961
Portland, OR 97225-6699
Phone: (503) 292-0848
Fax: (503) 296-0635
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD215593 (OR)
Ophthalmology Physician Taxonomy 207W00000X · Licence 22178 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730683970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Eye Health Northwest Pc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland