Brown, Timothy Mather
Brown, Timothy Mather is an sole proprietor health care provider with primary practice located at 12612 Se Stark St , Portland OR 97233-1058. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Brown, Timothy Mather can be contacted via phone (503) 257-6393.Contact Information
Primary practice address
12612 Se Stark St
Portland OR 97233-1058
Phone: (503) 257-6393
Fax: (503) 257-8785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD12786 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | MD12786 | Oregon |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | MD12786 | Oregon |
Profile Details
| NPI number | 1417058082 |
|---|---|
| LBN Legal business name | Brown, Timothy Mather |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Oct 4th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417058082 | NPPES |
| Other | 070008378 | MEDICARE RAILROAD |
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