Individual
TIMOTHY VALENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4437 SE CESAR E CHAVEZ BLVD STE C, PORTLAND, OR 97202-3581
(503) 774-3585
(503) 774-3602
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8836
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62295
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500725337
—
OR
01
—
P01904118
RR MEDICARE
OR
01
—
R194585
MEDICARE
OR
01
—
R194586
MEDICARE
OR
Enumeration date
05/22/2017
Last updated
11/13/2017
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