Edvalson, Timothy John
Edvalson, Timothy John is an sole proprietor health care provider with primary practice located at 3900 Douglas Way , Lake Oswego OR 97035-3446. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Edvalson, Timothy John can be contacted via phone (503) 636-8446.Contact Information
Primary practice address
3900 Douglas Way
Lake Oswego OR 97035-3446
Phone: (503) 636-8446
Fax: (503) 636-4446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D5825 | Oregon |
Profile Details
| NPI number | 1205821154 |
|---|---|
| LBN Legal business name | Edvalson, Timothy John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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