Individual
DR. TIMOTHY J RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 NE 139TH ST., SUITE 460, VANCOUVER, WA 98686
(360) 487-2727
(360) 487-2729
Mailing address
2101 NE 139TH ST, SUITE 460, VANCOUVER, WA 98686
(360) 487-2727
(360) 487-2729
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14358
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027978
—
WA
05
—
136242
—
OR
Enumeration date
03/14/2006
Last updated
07/14/2007
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