Individual
TIMOTHY VAN ERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 NE MAY LN, MCMINNVILLE, OR 97128-9272
(503) 472-1338
(503) 434-8597
Mailing address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16355 MD
OR
207Q00000X
Family Medicine Physician
Primary
MD00031237
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082250
—
OR
Enumeration date
08/31/2006
Last updated
02/04/2022
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