Individual
TIMOTHY W STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
364 SE 8TH AVE STE 205, HILLSBORO, OR 97123-4249
(503) 681-4145
(503) 681-4146
Mailing address
12215 NW LAIDLAW RD, PORTLAND, OR 97229-2562
(503) 804-5845
(503) 297-6590
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD14489
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213660
—
OR
01
—
R106585
MEDICARE PTAN
OR
Enumeration date
11/21/2005
Last updated
05/14/2021
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