Elleson Renee Tinkle

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10023414 Issued in OR

Practice address

2311 NW Northrup St
Portland, OR 97210-2994

Phone

(877) 658-3594

NPI assigned

Jun 20, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1124862610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 NW NORTHRUP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 NW NORTHRUP ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102994",
            "telephone_number": "877-658-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKLE",
        "first_name": "ELLESON",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10023414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Tingley
• Danyelle Marie Tinker Lowder, LMT
• George William Tinker, PHD
• Tenesha Lynn Tinker
• Julia Kay Tinkham-Ray, OTR/L
• Megan Rochelle Tinling
• Karin Tinning, L.AC.
• Jacklin Tino, ATR BC, LPC, CAT
• Luis R Tinoco-Garcia, MD
• Peter Hale Tinsley, BS

• Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.