Roos, Timothy Mark

Roos, Timothy Mark is an sole proprietor health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Roos, Timothy Mark can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6051
Phone: (541) 382-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.072962 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.072962 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD209619 Oregon

Profile Details

NPI number 1558855767
LBN Legal business name Roos, Timothy Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2018
Last updated Jul 20th, 2022 - about 4 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 1558855767 NPPES
Oregon MEDICAID 500807433

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