Healthcare Provider Details

I. General information

NPI: 1396918611
Provider Name (Legal Business Name): JAMES P CUYLER, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1849 NW KEARNEY ST SUITE 200
PORTLAND OR
97209-1453
US

IV. Provider business mailing address

1849 NW KEARNEY ST SUITE 200
PORTLAND OR
97209-1453
US

V. Phone/Fax

Practice location:
  • Phone: 503-553-3664
  • Fax: 503-553-3668
Mailing address:
  • Phone: 503-553-3664
  • Fax: 503-553-3668

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberMD18007
License Number StateOR

VIII. Authorized Official

Name: DR. JAMES P CUYLER
Title or Position: OWNER
Credential: M.D.
Phone: 503-553-3664