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Individual

MR. TIMOTHY L SEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC, LMT, CPT

Contact information

Practice address
1355 NW EVERETT ST STE 100, PORTLAND, OR 97209-2655
(971) 433-5334
(971) 200-8669
Mailing address
1355 NW EVERETT ST STE 100, PORTLAND, OR 97209-2655
(971) 433-5334
(971) 200-8669

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
225700000X
Massage Therapist
MT132983
TX
246RP1900X
Phlebotomy Technician
Primary
247ZC0005X
Clinical Laboratory Director (Non-physician)

Other

Enumeration date
05/19/2014
Last updated
10/21/2024
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