Siegel, Timothy R
Siegel, Timothy R is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Siegel, Timothy R can be contacted via phone (503) 494-6068.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd
Portland OR 97239
Phone: (503) 494-6068
Fax: (503) 494-3495
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 15327 | New Hampshire |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101257693 | Virginia |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2086H0002X | 0101257693 | Virginia |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2086H0002X | 15327 | New Hampshire |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2086H0002X | MD183891 | Oregon |
Profile Details
NPI number | 1619931870 |
---|---|
LBN Legal business name | Siegel, Timothy R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 14th, 2006 |
Last updated | Jun 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 | 1619931870 | NPPES |
New Hampshire | MEDICAID | 3073841 | |
New Hampshire | MEDICAID | 01929280 | |
New Hampshire | Other | AA224057 | |
New Hampshire | MEDICAID | 32000782 | |
New Hampshire | Other | 002323701 | |
New Hampshire | MEDICAID | 1019444 |
Popular Providers
-
Fahy, Bridget N
Unm Cancer Center Dept Of Surgery Msc07 4025 1 University Of New Mexico, Albuquerque NM 87131-0001 -
Crouse, Donnelle L.
3685 Leah Dr , Emmaus PA 18049-1560 -
Zonies, David
3181 Sw Sam Jackson Park Rd L611, Portland OR 97239-3011 -
Gordon, Helen M
7505 Osler Dr Ste G14 , Towson MD 21204 -
Kohman, Leslie J
550 Harrison St Ste 330, Syracuse NY 13202-3188 -
Adolph, Michael
230 N Main St , Dayton OH 45402-1263 -
Ahlswede, Karl
1100 Grampian Blvd , Williamsport PA 17701-1907 -
Riseman, Jay Alan
12300 Metcalf Ave , Overland Park KS 66213-1324