Ostrander, Timothy
Ostrander, Timothy is an sole proprietor health care provider with primary practice located at 2801 Nw Mercy Drive Suite 330, Roseburg OR 97471-2348. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ostrander, Timothy can be contacted via phone (541) 677-3600.Contact Information
Primary practice address
2801 Nw Mercy Drive Suite 330
Roseburg OR 97471-2348
Phone: (541) 677-3600
Fax: (541) 677-3601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA00643 | Oregon |
Profile Details
| NPI number | 1427076751 |
|---|---|
| LBN Legal business name | Ostrander, Timothy |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Dec 22nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427076751 | NPPES |
| Oregon | MEDICAID | 081526 |
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