Individual
DR. TIMOTHY JOSEPH SWINDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12728 SE STARK ST BLDG G, PORTLAND, OR 97233-1539
(503) 252-5097
(503) 252-5297
Mailing address
12728 SE STARK ST BLDG G, PORTLAND, OR 97233-1539
(503) 252-5097
(503) 252-5297
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-3387
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75 3115541
TAX ID
OR
01
—
823823000
BLUECROSS BLUE SHEILD
OR
Enumeration date
09/25/2005
Last updated
12/18/2008
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