Stewart, Timothy W

Stewart, Timothy W is an individual health care provider with primary practice located at 364 Se 8Th Ave Ste 205 , Hillsboro OR 97123-4249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stewart, Timothy W can be contacted via phone (503) 681-4145.

Contact Information

Primary practice address
364 Se 8Th Ave Ste 205 Hillsboro OR 97123-4249
Fax: (503) 681-4146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD14489 Oregon

Profile Details

NPI number 1669455952
LBN Legal business name Stewart, Timothy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated May 14th, 2021 - about 5 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 1669455952 NPPES
Oregon Other R106585 MEDICARE PTAN
Oregon MEDICAID 213660 MEDICARE PTAN

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