Mcnichol, Timothy M

Mcnichol, Timothy M is an individual health care provider with primary practice located at 1212 Sw Clay St Apt 711 , Portland OR 97201-7827. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mcnichol, Timothy M can be contacted via phone (503) 238-5203.

Contact Information

Primary practice address
1212 Sw Clay St Apt 711 Portland OR 97201-7827
Phone: (503) 238-5203
Fax: (503) 238-5202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149020101 Illinois

Profile Details

NPI number 1861790446
LBN Legal business name Mcnichol, Timothy M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2011
Last updated Mar 13th, 2018 - about 7 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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