- Practice location
- 24800 SE Stark St, Gresham, OR 97030-3378
- Phone
- 503-674-1275
- Fax
- —
- Last updated
- February 7, 2019
Tyrell Anthony Comeaux is a Dietitian, Registered based in Gresham, OR. Tyrell Anthony Comeaux practices in Gresham, OR and has the professional credentials of MS, RD. The NPI Number for Tyrell Anthony Comeaux is 1356806970 and holds a License No. 10178292 (OR). The current practice location address for Tyrell Anthony Comeaux is 24800 SE Stark St, Gresham, OR 97030-3378 and can be reached out via phone at 503-674-1275.
Provider Profile Details
- NPI Number
- 1356806970
- Provider Name
- Tyrell Anthony Comeaux
- Credential
- MS, RD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 24800 SE Stark St, Gresham, OR 97030-3378
- Phone Number
- 503-674-1275
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 7, 2019
- Last Update Date
- February 7, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24800 SE Stark St
Gresham, OR 97030-3378 - City
- Gresham
- State
- Oregon
- Zip
- 97030-3378
- Phone Number
- 503-674-1275
Provider Business Mailing Address Details
- Address
- 14030 SW Burlwood Ln
Beaverton, OR 97005-2362 - City
- Beaverton
- State
- OR
- Zip
- 97005-2362
- Phone Number
- 503-707-6164
License Information
- License Number
- 10178292
- License State
- OR
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Tyrell A Comeaux, MS, RD?
The NPI number of Mr. Tyrell A Comeaux, MS, RD is 1356806970. It was assigned on February 7, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Tyrell A Comeaux, MS, RD?
Mr. Tyrell A Comeaux, MS, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in OR under license number 10178292.
Where does Mr. Tyrell A Comeaux, MS, RD practice?
The practice location is 24800 SE Stark St, Gresham, OR 97030-3378. The office can be reached at 503-674-1275 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356806970 directly on the NPPES registry website.