BRIAN ANDREW TIMM (NPI# 1144555988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144555988 |
Entity Type | Individual |
Full Name | BRIAN ANDREW TIMM |
Credential | PAC |
Practice Address |
2222 Nw Lovejoy St Suite 315 Portland OR 97210-3033 |
Mailing Address |
975 Se Sandy Blvd Suite 201 Portland OR 97214-1308 |
Practice Telephone | 5032266321 |
Practice Fax Number | 5032273422 |
Mailing Telephone | 5032360775 |
Mailing Fax Number | 5032360786 |
Enumeration Date | 2009-10-13 |
Last Update Date | 2010-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60121081 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA150327 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8557449 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457597106 | Brian Glenn Timm | Podiatrist | 161 Riverside Dr, Suite M08, Binghamton, NY 13905-4176 | 2008-12-31 |
1841276342 | Brian Jon Timm | Physical Therapist | 2200 Ne Neff Rd, Suite 202, Bend, OR 97701-6337 | 2005-12-16 |
Street Address |
2222 NW LOVEJOY ST SUITE 315 |
City | PORTLAND |
State | OR |
Zip Code | 97210-3033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184626970 | Robert Louis Courtox | Physician Assistant | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | 2005-08-11 |
1083193338 | Suzanna Davis Barnhart | Nurse Practitioner | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2018-08-08 |
1447705801 | Pursuit Sports Medicine, LLC | Internal Medicine | 2222 Nw Lovejoy St, Ste 522, Portland, OR 97210-3033 | 2016-08-16 |
1578923751 | Pdxent and Audiology Medical Group PC | Otolaryngology | 2222 Nw Lovejoy St, 607, Portland, OR 97210-3033 | 2016-03-01 |
1669840443 | Melissa Dolbec | Registered Nurse | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2015-09-09 |
1043649908 | Angela Massoni-blaine | Nurse Practitioner | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2013-11-01 |
1851726319 | Dustin M Bronsdon | Audiologist | 2222 Nw Lovejoy St, 607, Portland, OR 97210-3033 | 2013-09-03 |
1932467008 | Maxwell C. Furr, M.d. LLC | Specialist | 2222 Nw Lovejoy St, Ste 607, Portland, OR 97210-3033 | 2012-04-26 |
1619241551 | Brett Anthony Quarles | Physician Assistant | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | 2012-02-23 |
1598054132 | Peter Jackson | Internal Medicine | 2222 Nw Lovejoy St, #411, Portland, OR 97210-3033 | 2011-04-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
Find all providers in zip 97210 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
1841472065 | Mandy Melissa Williams | Physician Assistant | 265 N Broadway, Portland, OR 97227-1800 | 2007-11-29 |
1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.