Individual
TIMOTHY LINCOLN TRUSCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Mailing address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
00023577
WA
2084P0805X
Geriatric Psychiatry Physician
Primary
MD25888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-8417623
FEDERAL TAX ID
WA
01
—
602-688-517
UNIFIED BUSINESS ID
WA
Enumeration date
03/28/2007
Last updated
11/27/2023
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