Individual
TIMOTHY W. MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213-2933
(503) 935-8379
(503) 935-8940
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35715
AL
208600000X
Surgery Physician
Primary
MD225603
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500861299
—
OR
Enumeration date
03/30/2015
Last updated
10/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us