Individual
TIMOTHY TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5415 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-1918
(503) 246-2842
(503) 246-3107
Mailing address
5415 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-1918
(503) 246-2842
(503) 246-3107
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11182
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
11182
OR
Other
Enumeration date
11/02/2011
Last updated
12/19/2015
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