Preston, Timothy M
Preston, Timothy M is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Preston, Timothy M can be contacted via phone (154) 170-6245.Contact Information
Primary practice address
1501 Ne Medical Center Dr
Bend OR 97701
Phone: (154) 170-6245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | DO187710 | Oregon |
Profile Details
| NPI number | 1457748196 |
|---|---|
| LBN Legal business name | Preston, Timothy M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2015 |
| Last updated | Aug 1st, 2018 - about 8 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 | 1457748196 | NPPES |
| Oregon | Other | DO187710 | LICENSE |
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