Anderson, Timothy Wayne
Anderson, Timothy Wayne is an sole proprietor health care provider with primary practice located at 1011 Commercial St Ne , Salem OR 97301-1049. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Anderson, Timothy Wayne can be contacted via phone (503) 983-9900.Contact Information
Primary practice address
1011 Commercial St Ne
Salem OR 97301-1049
Phone: (503) 983-9900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1629780572 |
|---|---|
| LBN Legal business name | Anderson, Timothy Wayne |
| Credentials | CRM, THW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2022 |
| Last updated | Dec 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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