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

Travis R Tiede, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962269332

Travis R Tiede, APRN is a Nurse Practitioner in Clackamas, Oregon. Qualified in 2023, 3 years ago. Practices with Cascadia Health, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

12360 SE Sunnyside Rd
Clackamas, OR 97015-9320
Phone: (503) 303-4000
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10016365 (OR)

Record details

NPI number1962269332
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 3, 2024
Mailing address11827 Se White Tail Dr, Happy Valley, OR 97086-4722

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cascadia Health — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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