Individual
DR. TIMOTHY WILLIAM BURKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15775 SE 82ND DR, CLACKAMAS, OR 97015-8551
(503) 722-9155
(503) 722-0420
Mailing address
15775 SE 82ND DR, CLACKAMAS, OR 97015-8551
(503) 722-9155
(503) 722-0420
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DO13104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279208
—
OR
Enumeration date
01/26/2006
Last updated
07/08/2007
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