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Individual

TIMOTHY ALLEN PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MN, PMHNP-BC

Contact information

Practice address
7105 SW VARNS ST, SUITE 270, TIGARD, OR 97223-8173
(503) 389-1500
(800) 974-5025
Mailing address
7105 SW VARNS ST, SUITE 270, TIGARD, OR 97223-8173
(503) 389-1500
(800) 974-5025

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200950089NP
OR

Other

Enumeration date
02/26/2008
Last updated
09/11/2015
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