Davidson, Timothy A

Davidson, Timothy A is an individual health care provider with primary practice located at 401 W Poplar , Walla Walla WA 99362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Davidson, Timothy A can be contacted via phone (509) 522-5940.

Contact Information

Primary practice address
401 W Poplar Walla Walla WA 99362
Fax: (509) 522-5744
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD00032527 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD00032527 Washington

Profile Details

NPI number 1124032511
LBN Legal business name Davidson, Timothy A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated May 10th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124032511 NPPES
Oregon MEDICAID 210897
Oregon MEDICAID 1124032511

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