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Organization
TIMOTHY P CONNALL MD PC
Active
Organization
TIMOTHY P CONNALL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P CONNALL M.D. (OWNER)
(503) 783-0544
Entity
Organization
Contact information
Practice address
19801 SW 72ND AVE, SUITE 160, TUALATIN, OR 97062-8351
(503) 783-0544
(503) 783-0545
Mailing address
19801 SW 72ND AVE, SUITE 160, TUALATIN, OR 97062-8351
(503) 783-0544
(503) 783-0545
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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