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Search › Oregon › 101YM0800X

Kiel Tatum

NPI 1609448521 · on the registry since 2021

Practice

Address
5441 S Macadam Ave Ste R
Portland, OR 97239
Phone
(425) 678-6463
Organisation at this address
Forley Llc
Forley Llc
Forley Llc
Forley Llc
Forley Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
155

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon