Provider Demographics
NPI:1780868323
Name:TILGNER, SHAROL (ND)
Entity Type:Individual
Prefix:
First Name:SHAROL
Middle Name:
Last Name:TILGNER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84537 PRODEN LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:OR
Mailing Address - Zip Code:97455-9722
Mailing Address - Country:US
Mailing Address - Phone:541-736-0164
Mailing Address - Fax:
Practice Address - Street 1:84537 PRODEN LN
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:OR
Practice Address - Zip Code:97455-9722
Practice Address - Country:US
Practice Address - Phone:541-736-0164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR746175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath