Search › Oregon › 101YM0800X
Gracen Tichelaar
NPI 1881138618 · on the registry since 2016
Practice
- Address
- 2236 Se Belmont St
Portland, OR 97214 - Phone
- (503) 445-7699
- Organisation at this address
- Cascade Aids Project
Avita Drugs Oregon, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 1219 Se Lafayette St Ste 100, Portland, OR
- 847 Ne 19th Ave, Portland, OR
- 14600 Nw Cornell Rd, Portland, OR
- 5415 Sw Westgate Dr, Portland, OR
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 171M00000X
372600000X
390200000X - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-09
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