Provider Demographics
NPI:1639690704
Name:TUALITY MEDICAL GROUP LLC
Entity Type:Organization
Organization Name:TUALITY MEDICAL GROUP LLC
Other - Org Name:TUALITY HEALTHCARE NEUROLOGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER PAYER CONTRACTING
Authorized Official - Prefix:MR
Authorized Official - First Name:GARRY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BYBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-681-1827
Mailing Address - Street 1:335 SE 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:364 SE 8TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4243
Practice Address - Country:US
Practice Address - Phone:503-681-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TUALITY MEDICAL GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty