Robert J Tilley (NPI# 1114044393, PAC ID# 2365435609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1114044393 |
PAC ID by PECOS | 2365435609 |
Professional Enrollment ID | I20050204000600 |
Full Name | Robert J Tilley |
Organization Legal Name | INHOUSEDOC |
Address |
12720 Sw Pacific Hwy 1 Tigard OR 97223-6125 |
Phone Number | 5039746170 |
Gender | M |
Credential | MD |
Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
Graduation Year | 1984 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 3173840683 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380071 | WILLAMETTE VALLEY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
12720 Sw Pacific Hwy 1, Tigard, OR 97223-6125 | 5039746170 | INHOUSEDOC |
Organization Legal Name | INHOUSEDOC |
Physicians | 1 |
Street Address |
12720 SW PACIFIC HWY 1 |
City | TIGARD |
State | OR |
Zip | 97223-6125 |
Name | Specialty | Organization | Address |
---|---|---|---|
Quincy Michael Shorthill | Physical Therapy | 8915 Swnordic Dr, Tigard, OR 97223 | |
Robert L Marrs | Clinical Social Worker | 7175 Sw Beveland St, Suite 200, Tigard, OR 97223 | |
Halsy J Carter | Chiropractic | 12700 Sw N Dakota St, 180 Straight Up Chiropractic, Tigard, OR 97223-0802 | |
Heidi U Ferguson | Family Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803 |
Evagelia Baros | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
Yvonne Howell | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
Raghuveer B Shenoy | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
Kathryn Marie Lund | Nurse Practitioner | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
Kevin A Brooks | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
Kirsten A Holmes | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
Find all physicians in zip 97223 |
City | TIGARD |
Zip Code | 97223 |
Specialty | GENERAL PRACTICE |
City + Specialty | TIGARD + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Robert J Tilley.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.