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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1396710810 NPPES
Oregon MEDICAID 287121

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