Individual
DR. TIMOTHY MICHAEL MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(503) 361-5400
Mailing address
8545 SW METOLIUS LN, WILSONVILLE, OR 97070-9780
(503) 682-6915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09969
OR
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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