Individual
TIMOTHY LEE UNGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
3785 SE 317TH AVE, TROUTDALE, OR 97060-9401
(503) 789-8402
(503) 663-1595
Mailing address
PO BOX 1041, BORING, OR 97009-1041
(503) 789-8402
(503) 663-1585
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
091000453RN
OR
163WH0200X
Home Health Registered Nurse
091000453RN
OR
Other
Enumeration date
01/02/2016
Last updated
01/02/2016
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