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TYLER BRADSTREET
NPI 1699126532
Dentist - General Practice in Gresham, OR

Active since June 22, 2016
23479 SE STARK ST, STE. 102, GRESHAM, OR 97030(503) 667-1184 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2021, Jun 22, 2016 (2 updates tracked since 2016).

About Tyler Bradstreet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER BRADSTREET (NPI 1699126532) is an individual general practice provider in Gresham, Oregon, licensed in Oregon (D10466) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1699126532
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTYLER BRADSTREET
Location Address23479 SE STARK ST, STE. 102Gresham, OR 97030-2962
Mailing Address14740 Nw Cornell Rd Ste 120Portland, OR 97229-5400 · (503) 690-0400
Phone(503) 667-1184
Sole ProprietorNo
Enumeration DateJune 22, 2016
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1699126532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D10466
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
23479 SE STARK ST, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RINNOVARE LASER AND WELLNESS
Clinic/Center (Multi-Specialty)
23479 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 667-9300
MRS. ANDREA JOY BUTLER L.M.T.
Massage Therapist
23479 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 667-9300
JONATHAN M HANSEL DC MD
Naturopath
23479 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 667-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Bradstreet's NPI number?

The NPI number for Tyler Bradstreet is 1699126532. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Tyler Bradstreet located?

Tyler Bradstreet practices at 23479 SE Stark St Ste. 102, Gresham, OR 97030. The listed phone number is (503) 667-1184.

What is Tyler Bradstreet's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tyler Bradstreet accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Tyler Bradstreet as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Bradstreet was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.