Individual
TIMOTHY A JANCHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-7474
Mailing address
6312 SW CAPITOL HWY, #502, PORTLAND, OR 97239-1938
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD24072
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181660
—
OR
Enumeration date
07/25/2006
Last updated
07/08/2007
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