Tyrell Anthony Comeaux, MS, RD

Registered Dietitian · Gresham, OR

Individual Active NPI

NPI number 1356806970

Practice location

24800 SE Stark St
Gresham, OR 97030-3378
Phone
(503) 674-1275

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NPI record

NPI
1356806970
Entity type
Individual (Type 1)
Enumeration date
February 7, 2019
Last updated
February 7, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 10178292 OR

Mailing address

14030 SW Burlwood Ln
Beaverton, OR 97005-2362
Phone
(503) 707-6164

About Tyrell Comeaux

Tyrell Anthony Comeaux, MS, RD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 24800 SE Stark St, Gresham, OR 97030-3378. The NPI number 1356806970 was assigned on February 7, 2019 and the record was last updated on February 7, 2019.

Tyrell Comeaux lists a license in the registry: #10178292 (OR) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tyrell Anthony Comeaux, MS, RD?

The NPI number is 1356806970.

What is the phone number of Tyrell Comeaux?

The phone number listed for the practice location is (503) 674-1275.

Where is Tyrell Comeaux located?

24800 SE Stark St, Gresham, OR 97030-3378.

What is the taxonomy code for Tyrell Comeaux?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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