Organization
TIMOTHY J TREIBLE MD PC
Active
Other names
East Portland Orthopedic and Fracture Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JAMES TREIBLE MD PC (OWNER)
(503) 255-5388
Entity
Organization
Contact information
Practice address
135 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 255-5388
(503) 255-5085
Mailing address
135 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 255-5388
(503) 255-5085
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH1163
RR MEDICARE
—
Enumeration date
12/02/2005
Last updated
02/22/2008
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