Timmons, Tracy

Timmons, Tracy is an individual health care provider with primary practice located at 505 Ne 87Th Ave Suite 301, Vancouver WA 98664-1989. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Timmons, Tracy can be contacted via phone (360) 514-1854.

Contact Information

Primary practice address
505 Ne 87Th Ave Suite 301 Vancouver WA 98664-1989
Phone: (360) 514-1854
Fax: (360) 514-6063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101240754 Virginia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X D71167 Maryland
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D71167 Maryland
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD60449813 Washington

Profile Details

NPI number 1629288493
LBN Legal business name Timmons, Tracy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated May 2nd, 2014 - about 11 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 1629288493 NPPES
Maryland Other 0131 BLUE CROSS
Maryland MEDICAID 323207700 BLUE CROSS

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