# TIMOTHY T ROSS MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NW GERIATRIC CONSULTANTS INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053594697
- **Authorized official:** DR. TIMOTHY TODD ROSS M.D. (OWNER)
- **Authorized official phone:** (360) 254-3663

## Contact information

- **Practice address:** 715 S ANDRESEN RD, VANCOUVER, WA 98661-7603
- **Practice address phone:** (360) 693-7877
- **Practice address fax:** (360) 750-6900
- **Mailing address:** 11500 NE 76TH ST STE A3, PMB 7, VANCOUVER, WA 98662-3901
- **Mailing address phone:** (360) 254-3663
- **Mailing address fax:** (360) 254-3719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | MD00019932 | WA | Yes |
| 314000000X | Skilled Nursing Facility | MD12417 | OR | — |

## Other

- **Enumeration date:** 12/05/2007
- **Last updated:** 10/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7034572 | — | WA |