Individual
TIMOTHY TSENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1625 SE 192ND AVE STE 100, CAMAS, WA 98607-6505
(360) 566-4840
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA159694
OR
363A00000X
Physician Assistant
Primary
PA61507645
WA
363AS0400X
Surgical Physician Assistant
PA159694
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653157
—
OR
Enumeration date
01/05/2011
Last updated
04/16/2024
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