Individual
DR. TIMOTHY J O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MANITOBA AVE, SUITE 109, ELLENSBURG, WA 98926-3885
(509) 925-6947
Mailing address
2771 PARKE CREEK RD, ELLENSBURG, WA 98926-7664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00021680
WA
208600000X
Surgery Physician
MD00021680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7010614
—
WA
Enumeration date
07/25/2006
Last updated
05/10/2010
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