Individual
TIMOTHY O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Mailing address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
142377
OR
Other
Enumeration date
09/03/2013
Last updated
09/27/2013
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