Burke, Timothy William
Burke, Timothy William is an individual health care provider with primary practice located at 15775 Se 82Nd Dr , Clackamas OR 97015-8551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Burke, Timothy William can be contacted via phone (503) 722-9155.Contact Information
Primary practice address
15775 Se 82Nd Dr
Clackamas OR 97015-8551
Phone: (503) 722-9155
Fax: (503) 722-0420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | DO13104 | Oregon |
Profile Details
| NPI number | 1215908553 |
|---|---|
| LBN Legal business name | Burke, Timothy William |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1215908553 | NPPES |
| Oregon | MEDICAID | 279208 |
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