Individual
BRIAN ANDREW TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 315, PORTLAND, OR 97210-3033
(503) 226-6321
(503) 227-3422
Mailing address
975 SE SANDY BLVD, SUITE 201, PORTLAND, OR 97214-1308
(503) 236-0775
(503) 236-0786
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA150327
OR
363AS0400X
Surgical Physician Assistant
PA60121081
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8557449
—
WA
Enumeration date
10/13/2009
Last updated
07/27/2010
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