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

Tyler J. Etheridge, MD

Individual provider Ophthalmology Physician · NPI 1518595958

Tyler J. Etheridge, MD is an Ophthalmology in Portland, Oregon. Graduated from University of Wisconsin School of Medicine in 2019, 7 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon, Utah and Wisconsin.

Years since qualifying
7
Trained at
University of Wisconsin School of Medicine
Licensed in
OR, UT, WI
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9555 SW Barnes Rd Ste 100
Portland, OR 97225-6668
Phone: (503) 227-2020
Show map & directions

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

Additional practice locations (1)

  • 29250 Sw Town Center Loop W, Wilsonville, OR 97070-9477 — (503) 582-0000

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD229341 (OR)
Ophthalmology Physician Taxonomy 207W00000X · Licence 83222-20 (WI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 12403679-1205 (UT)

Record details

NPI number1518595958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address9555 Sw Barnes Rd Ste 100, Portland, OR 97225-6668

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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