Individual
TIMOTHY OSTRANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2801 NW MERCY DRIVE, SUITE 330, ROSEBURG, OR 97471-2348
(541) 677-3600
(541) 677-3601
Mailing address
2750 W HARVARD AVE, ROSEBURG, OR 97471-2608
(541) 673-8988
(541) 672-8103
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00643
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081526
—
OR
Enumeration date
07/17/2006
Last updated
12/22/2008
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