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Individual

TIM CASEBEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPSS, QMHA

Contact information

Practice address
421 SW OAK ST STE 520, PORTLAND, OR 97204-1810
(503) 988-5464
Mailing address
421 SW OAK ST STE 520, PORTLAND, OR 97204-1810
(503) 988-5464

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/27/2011
Last updated
04/28/2015
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