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

Kelsi Tidball

Individual provider Specialist · NPI 1093121014

Kelsi Tidball is a Specialist in Eugene, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
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Practice location Address checks out

1310 Coburg Rd Ste 5
Eugene, OR 97401-5200
Phone: (541) 345-7532
Fax: (541) 345-6692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 16665 (OR)

Record details

NPI number1093121014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2014
Last updated in NPPESJuly 10, 2014

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