MR. TYRELL ANTHONY COMEAUX (NPI# 1356806970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356806970 |
| Entity Type | Individual |
| Full Name | MR. TYRELL ANTHONY COMEAUX |
| Credential | MS, RD |
| Practice Address |
24800 Se Stark St Gresham OR 97030-3378 |
| Mailing Address |
14030 Sw Burlwood Ln Beaverton OR 97005-2362 |
| Practice Telephone | 5036741275 |
| Mailing Telephone | 5037076164 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 10178292 | OR | Dietary & Nutritional Service Providers |
| Street Address |
24800 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-3378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183918 | Amy Katherine Chaumeton | Internal Medicine | 24800 Se Stark St, Gresham, OR 97030-3378 | 2006-02-15 |
| 1154984763 | Devon Heisler | Pharmacy | 24800 Se Stark St, Gresham, OR 97030-3378 | 2019-04-18 |
| 1710490156 | Kathryn Collins | Physical Therapist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2017-11-08 |
| 1467995886 | Traci Mo | Pharmacist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2016-12-02 |
| 1437604279 | Leslie Hoang | Physical Therapist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2016-08-22 |
| 1477926574 | Korina Leclerc | Social Worker | 24800 Se Stark St, Gresham, OR 97030-3378 | 2015-11-11 |
| 1326414202 | Mike (huy) Minh Nguyen | Pharmacist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2015-08-14 |
| 1760878243 | Matthew Sabongi | Internal Medicine | 24800 Se Stark St, Gresham, OR 97030-3378 | 2015-04-10 |
| 1922406362 | Rnfa Assist, LLC | Registered Nurse | 24800 Se Stark St, Gresham, OR 97030-3378 | 2014-12-17 |
| 1285039974 | Jane Sayner | Dietitian, Registered | 24800 Se Stark St, Gresham, OR 97030-3378 | 2014-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350229 | Chelsea Elizabeth Horvath | Dietitian, Registered | 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 | 2020-09-08 |
| 1104070663 | Patricia Jean Regan | Dietitian, Registered | 72 Se 47th Cir, Gresham, OR 97080-6403 | 2008-11-11 |
| 1669441382 | Jody Louise Babson | Dietitian, Registered | 24700 Se Stark St, Suite A8, Gresham, OR 97030-3377 | 2006-03-15 |
| 1780181461 | Tori Nicole Boedigheimer | Dietitian, Registered | 17727 E Burnside St, Gresham, OR 97230 | 2018-04-10 |
| 1285039974 | Jane Sayner | Dietitian, Registered | 24800 Se Stark St, Gresham, OR 97030-3378 | 2014-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1386245256 | Aloura Linfesty | Dietitian, Registered | 12944 Sw Sara Dr, Gaston, OR 97119-8580 | 2020-11-05 |
| 1699375394 | Ashlyn Hiserote | Dietitian, Registered | 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 | 2020-10-30 |
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1700484805 | Christine Charlotte Madzik | Dietitian, Registered | 655 E 43rd Ave, Eugene, OR 97405-3928 | 2020-10-12 |
| 1578160784 | Kristen Bowman | Dietitian, Registered | 749 Rabbit Run St, Stayton, OR 97383-1697 | 2020-10-01 |
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1275147670 | Karina Ann Inouye | Dietitian, Registered | 13804 Sw Anna Ct, Tigard, OR 97223-2114 | 2020-09-02 |
| 1558973370 | Kianna Aumiller | Dietitian, Registered | 2167 Sw Yamhill St, Portland, OR 97205-1417 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.