Individual
DR. TIMOTHY JAMES MINEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
24076 SE STARK ST, SUITE 110, GRESHAM, OR 97030-3373
(503) 661-5388
Mailing address
16890 SW LEDGESTONE DR, BEAVERTON, OR 97007-5189
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP151976
OR
Other
Enumeration date
06/29/2007
Last updated
08/08/2013
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