Kopet, Timothy D.

Kopet, Timothy D. is an sole proprietor health care provider with primary practice located at 7505 Sw Beveland Rd Ste 203 , Tigard OR 97223-8682. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kopet, Timothy D. can be contacted via phone (503) 603-9982.

Contact Information

Primary practice address
7505 Sw Beveland Rd Ste 203 Tigard OR 97223-8682
Phone: (503) 603-9982
Fax: (503) 684-1932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 761 Oregon
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 761 Oregon

Profile Details

NPI number 1316078942
LBN Legal business name Kopet, Timothy D.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 9th, 2007 - about 17 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 1316078942 NPPES
Oregon MEDICAID 124961

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