Individual
TIMOTHY F PERSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3025
(503) 413-7324
Mailing address
1015 NW 22ND AVE, SUITE 200, PORTLAND, OR 97210-3025
(503) 413-7324
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22855
OR
208M00000X
Hospitalist Physician
MD22855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287121
—
OR
Enumeration date
02/19/2006
Last updated
04/15/2012
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