Individual
TIMOTHY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
448 N WERTH BLVD, NEWBERG, OR 97132-7500
(503) 554-2521
Mailing address
230 NE FIRCREST DR APT 301, MCMINNVILLE, OR 97128-9214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA223551
OR
Other
Enumeration date
10/18/2023
Last updated
08/20/2025
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