Dr Stepphine Tilden, DC | |
12655 Sw Center St Ste 145, Beaverton, OR 97005-1864 | |
(971) 727-8965 | |
Not Available |
Full Name | Dr Stepphine Tilden |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 12655 Sw Center St Ste 145, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982077731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6009 (Oregon) | Primary |
Provider Name | Wellness Way Beaverton Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780211391 PECOS PAC ID: 0941630271 Enrollment ID: O20200428001484 |
Mailing Address | Practice Location Address |
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Dr Stepphine Tilden, DC 12655 Sw Center St Ste 145, Beaverton, OR 97005-1864 Ph: (971) 727-8965 | Dr Stepphine Tilden, DC 12655 Sw Center St Ste 145, Beaverton, OR 97005-1864 Ph: (971) 727-8965 |
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