Individual
TIMOTHY M PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701
(154) 170-6245
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
DO187710
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO187710
LICENSE
OR
Enumeration date
04/21/2015
Last updated
08/01/2018
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