Persse, Timothy F
Persse, Timothy F is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave Suite 200, Portland OR 97210-3025. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Persse, Timothy F can be contacted via phone (503) 413-7324.Contact Information
Primary practice address
1015 Nw 22Nd Ave Suite 200
Portland OR 97210-3025
Phone: (503) 413-7324
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD22855 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD22855 | Oregon |
Profile Details
| NPI number | 1396710810 |
|---|---|
| LBN Legal business name | Persse, Timothy F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 19th, 2006 |
| Last updated | Apr 15th, 2012 - about 13 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 | 1396710810 | NPPES |
| Oregon | MEDICAID | 287121 |
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