Gard, Timothy L

Gard, Timothy L is an individual health care provider with primary practice located at 512 E Main St , Hillsboro OR 97123-4137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Gard, Timothy L can be contacted via phone (503) 640-3708.

Contact Information

Primary practice address
512 E Main St Hillsboro OR 97123-4137
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X MD16063 Oregon

Profile Details

NPI number 1659375244
LBN Legal business name Gard, Timothy L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Sep 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659375244 NPPES
Oregon MEDICAID 046305

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