Timothy M Brown (NPI# 1417058082, PAC ID# 2466591615) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1417058082 |
PAC ID by PECOS | 2466591615 |
Professional Enrollment ID | I20091201000096 |
Full Name | Timothy M Brown |
Organization Legal Name | TIMOTHY M. BROWN, M.D., P.C. |
Address |
12612 Se Stark St Portland OR 97233-1058 |
Phone Number | 5032576393 |
Gender | M |
Medical School | UNIVERSITY OF VERMONT COLLEGE OF MEDICINE |
Graduation Year | 1976 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 2769522556 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12612 Se Stark St, Portland, OR 97233-1058 | 5032576393 | TIMOTHY M. BROWN, M.D., P.C. |
Organization Legal Name | TIMOTHY M. BROWN, M.D., P.C. |
Physicians | 1 |
Street Address |
12612 SE STARK ST |
City | PORTLAND |
State | OR |
Zip | 97233-1058 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nanette G Zunkel | Nurse Practitioner | The Native American Rehabilitation Assoc of The Northwest Inc. | 12360 E Burnside St, Portland, OR 97233-1042 |
Artice E Geary | Clinical Social Worker | The Native American Rehabilitation Assoc of The Northwest Inc. | 12360 E Burnside St, Portland, OR 97233-1042 |
Judy Ann Hart | Undefined Physician Type (specify) | The Native American Rehabilitation Assoc of The Northwest Inc. | 12360 E Burnside St, Portland, OR 97233-1042 |
Jennifer J O' Donnell | Nurse Practitioner | Crm Physicians LLC | 12441 Se Stark St, Portland, OR 97233-1053 |
Ilene J Schechter | Psychologist, Clinical | Western Psychological and Counseling Services PC | 12636 Se Stark St Plaza 125 Bldg J, Portland, OR 97233-1058 |
Lyndon George Johansen | Podiatry | 12658 Se Stark St, Plaza 125, Portland, OR 97233-1058 | |
Amy E Berg | Nurse Practitioner | Western Psychological and Counseling Services PC | 12636 Se Stark St Plaza 125 Bldg J, Portland, OR 97233-1058 |
Christine L Chatman | Clinical Social Worker | Western Psychological and Counseling Services PC | 12636 Se Stark St Plaza 125 Bldg J, Portland, OR 97233-1058 |
Frances V Verzosa | General Practice | 12770 Se Stark St Bldg C, Portland, OR 97233-1539 | |
Robert C Sayson | Internal Medicine | 18000 Se Stark St, Gresham, OR 97233-4828 | |
Find all physicians in zip 97233 |
City | PORTLAND |
Zip Code | 97233 |
Specialty | DERMATOLOGY |
City + Specialty | PORTLAND + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.