Individual
DR. TIM J HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 410-1732
Mailing address
2677 NW RAINBOW RIDGE DR, BEND, OR 97703-6607
(541) 410-1732
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
7036884-1205
UT
207L00000X
Anesthesiology Physician
Primary
MD166108
OR
Other
Enumeration date
07/10/2007
Last updated
01/08/2020
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