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Individual

MR. TIMOTHY NEIL DRISCOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
28461 SW MEADOWS LOOP, WILSONVILLE, OR 97070-7703
(503) 682-3117
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 657-6272
(503) 651-6143

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
00011081
WA
183500000X
Pharmacist
Primary
0005639
OR

Other

Enumeration date
11/16/2010
Last updated
11/16/2010
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