Individual
BRIAN JON TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2200 NE NEFF RD, SUITE 202, BEND, OR 97701-6337
(541) 388-7738
(541) 388-7785
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3049
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204693
—
OR
Enumeration date
12/16/2005
Last updated
11/13/2012
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