Criswell, Tim Richard

Criswell, Tim Richard is an individual health care provider with primary practice located at 600 Ne 8Th St , Gresham OR 97030-7317. He recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as his primary health care specialty. Criswell, Tim Richard can be contacted via phone (503) 988-5154.

Contact Information

Primary practice address
600 Ne 8Th St Gresham OR 97030-7317
Phone: (503) 988-5154
Fax: (503) 988-5509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X CPT-0001684 Oregon

Profile Details

NPI number 1780201426
LBN Legal business name Criswell, Tim Richard
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Oct 17th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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