Individual
DR. TIMOTHY MICHAEL BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2095 EXCHANGE ST STE 301, ASTORIA, OR 97103-3400
(503) 338-4087
(503) 338-4091
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7400
(503) 494-4794
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO199096
OR
207RC0000X
Cardiovascular Disease Physician
Primary
DO199096
OR
207UN0901X
Nuclear Cardiology Physician
DO199096
OR
Other
Enumeration date
11/06/2013
Last updated
07/31/2020
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