Keenen, Timothy Lynn
Keenen, Timothy Lynn is an individual health care provider with primary practice located at 19260 Sw 65Th Ave Ste 270 , Tualatin OR 97062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Keenen, Timothy Lynn can be contacted via phone (503) 885-9391.Contact Information
Primary practice address
19260 Sw 65Th Ave Ste 270
Tualatin OR 97062
Phone: (503) 885-9391
Fax: (503) 563-5520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD15842 | Oregon |
Profile Details
| NPI number | 1194716571 |
|---|---|
| LBN Legal business name | Keenen, Timothy Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Aug 15th, 2018 - about 6 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 | 1194716571 | NPPES |
| Other | R113019 | MEDICARE PTAN | |
| MEDICAID | 215608 | MEDICARE PTAN |
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