# JUSTIN A TIDWELL, DPM
> **PODIATRY** · PORTLAND, OR
## Provider
- **NPI:** 1710908892
- **Credential:** DPM
- **Primary specialty:** PODIATRY
- **Gender:** Male
- **Medical school:** OTHER
- **Graduation year:** 2003
## Practice
- **Address:** 1015 NW 22ND AVE, PORTLAND, OR 972103025
- **Phone:** 5034137711
- **Accepts Medicare assignment:** Yes (individual)
- **Telehealth:** No
## Source
- [NPI Registry](https://npiregistry.cms.hhs.gov/provider-view/1710908892)
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