Timm, Brian Andrew

Timm, Brian Andrew is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Suite 315, Portland OR 97210-3033. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Timm, Brian Andrew can be contacted via phone (503) 226-6321.

Contact Information

Primary practice address
2222 Nw Lovejoy St Suite 315 Portland OR 97210-3033
Phone: (503) 226-6321
Fax: (503) 227-3422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA150327 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA60121081 Washington

Profile Details

NPI number 1144555988
LBN Legal business name Timm, Brian Andrew
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2009
Last updated Jul 27th, 2010 - about 15 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 1144555988 NPPES
Washington MEDICAID 8557449

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