Individual
TIMOTHY MICHAEL BAUMGARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
Mailing address
2262 NE BARON CT, BEND, OR 97701-6606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201903853NP-PP
OR
Other
Enumeration date
05/22/2019
Last updated
05/29/2020
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