Hodges, Timothy C.

Hodges, Timothy C. is an individual health care provider with primary practice located at 665 Winter St Se , Salem OR 97301-3934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Hodges, Timothy C. can be contacted via phone (503) 814-8272.

Contact Information

Primary practice address
665 Winter St Se Salem OR 97301-3934
Phone: (503) 814-8272
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 113383 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0428604 Kansas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD201655 Oregon

Profile Details

NPI number 1457441339
LBN Legal business name Hodges, Timothy C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 8th, 2023 - about last year

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 1457441339 NPPES
Missouri Other P00153164 R R MEDICARE
Missouri MEDICAID 100289250E R R MEDICARE
Missouri MEDICAID 208714832 R R MEDICARE

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