Roddy, Timothy J
Roddy, Timothy J is an individual health care provider with primary practice located at 2101 Ne 139Th St. Suite 460, Vancouver WA 98686. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Roddy, Timothy J can be contacted via phone (360) 487-2727.Contact Information
Primary practice address
2101 Ne 139Th St. Suite 460
Vancouver WA 98686
Phone: (360) 487-2727
Fax: (360) 487-2729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD14358 | Oregon |
Profile Details
| NPI number | 1083683023 |
|---|---|
| LBN Legal business name | Roddy, Timothy J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 14th, 2007 - about 19 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 | 1083683023 | NPPES |
| Washington | MEDICAID | 1027978 | |
| Washington | MEDICAID | 136242 |
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