BRIAN ANDREW TIMM


Address: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-3033
Phone: 5032266321

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
WA 8557449 05

Other Providers BRIAN TIMM

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

Office Location

Street Address 2222 NW LOVEJOY ST
SUITE 315
City PORTLAND
State OR
Zip Code 97210-3033

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

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.

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