Individual
TIMOTHY ORIN BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5431 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-1918
(503) 245-7231
Mailing address
5431 SW BEAVERTON HILLSDALE HWY, PORTLAND, OR 97221-1918
(503) 245-7231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9460
OR
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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