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
Fax: (541) 677-3601
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427076751 NPPES
Oregon MEDICAID 081526

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