Individual
TIMOTHY M. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2777
(253) 835-5511
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2777
(253) 835-5511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00034985
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD00034985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005587
—
WA
05
—
1101468
—
WA
05
—
276426
—
OR
Enumeration date
05/25/2006
Last updated
12/08/2020
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