Individual
TIMOTHY J TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
185 B ST, ASHLAND, OR 97520-1910
(541) 552-0388
(866) 738-3305
Mailing address
1257 SISKIYOU BLVD, PMB 17, ASHLAND, OR 97520-2241
(541) 552-0388
(866) 738-3305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3742
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275285
—
OR
01
—
825811000
BLUECROSS BLUESHIELD
OR
Enumeration date
10/16/2006
Last updated
08/19/2008
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