Individual
DR. TIMOTHY J BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, P3-DENT, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD, P3-DENT, PORTLAND, OR 97239-2964
(707) 372-6823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62807
CA
122300000X
Dentist
DDS
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
02/22/2016
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