Carrasco, Timothy Scott

Carrasco, Timothy Scott is an individual health care provider with primary practice located at 9495 Sw Locust St Suite # A, Portland OR 97223-6683. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Carrasco, Timothy Scott can be contacted via phone (503) 636-9011.

Contact Information

Primary practice address
9495 Sw Locust St Suite # A Portland OR 97223-6683
Phone: (503) 636-9011
Fax: (503) 471-0504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PA00732 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00732 Oregon

Profile Details

NPI number 1598954976
LBN Legal business name Carrasco, Timothy Scott
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Aug 20th, 2015 - about 10 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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