Individual
TIMOTHY OBERLIN BRINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
5880 NE CORNELL RD, STE C, HILLSBORO, OR 97124-9075
(503) 844-9294
(503) 615-0212
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2492
OR
225100000X
Physical Therapist
PT00007395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119854
—
OR
01
—
650014012
RR MEDICARE
OR
Enumeration date
11/28/2005
Last updated
12/14/2015
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