Individual
TIMOTHY MARTIN SIMRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10300 NE HANCOCK ST, PORTLAND, OR 97220-3831
(503) 257-5500
(503) 257-5673
Mailing address
6332 N OBERLIN ST, PORTLAND, OR 97203-4153
(503) 757-8202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
01/27/2011
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