Individual
TAMARA TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 NW 23RD AVE, LEGACY CLINIC GOOD SAMARITAN, PORTLAND, OR 97210-2906
(503) 413-7074
(503) 413-6892
Mailing address
1200 NW 23RD AVE, LEGACY CLINIC GOOD SAMARITAN, PORTLAND, OR 97210-2906
(503) 413-7074
(503) 413-6892
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
06/20/2014
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