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Organization
TIMOTHY T ROSS MD
Active
Organization
TIMOTHY T ROSS MD
Active
Other names
NW GERIATRIC CONSULTANTS INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY TODD ROSS M.D. (OWNER)
(360) 254-3663
Entity
Organization
Contact information
Practice address
715 S ANDRESEN RD, VANCOUVER, WA 98661-7603
(360) 693-7877
(360) 750-6900
Mailing address
11500 NE 76TH ST STE A3, PMB 7, VANCOUVER, WA 98662-3901
(360) 254-3663
(360) 254-3719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
MD00019932
WA
314000000X
Skilled Nursing Facility
MD12417
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7034572
—
WA
Enumeration date
12/05/2007
Last updated
10/28/2009
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