Timothy Patrick Shannon in Portland - General Practice
Timothy Patrick Shannon - NPI 1770641128
Timothy Patrick Shannon is a General Practice in Portland, Oregon. Timothy Patrick Shannon practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy Patrick Shannon is 1770641128. The last update date is 2007-07-08.
Timothy Patrick Shannon's current location address is 7524 Se 31st Ave, Portland, Oregon. You can contact this provider via phone number 5037711106 and fax number 5036547774. The mailing address for Timothy Patrick Shannon is 7524 Se 31st Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Patrick Shannon |
|---|---|
| Address | 7524 Se 31st Ave, Portland, Oregon |
| Phone Number | 5037711106 |
| Fax Number | 5036547774 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1770641128 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7524 Se 31st Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972028533 |
| Phone Number | 5037711106 |
| Fax Number | 5036547774 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6975 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy Patrick Shannon by the Centers for Medicare & Medicaid Services?
The Timothy Patrick Shannon has been issued the NPI (National Provider Identifier) 1770641128, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Timothy Patrick Shannon's facilities are situated?
The facilities of Timothy Patrick Shannon are physically located at the following address: 7524 Se 31St Ave, Portland, OR, 972028533.
What is Timothy Patrick Shannon's area of expertise and its corresponding taxonomy classification?
The Timothy Patrick Shannon's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770641128 to Timothy Patrick Shannon?
The Centers for Medicare & Medicaid Services originally issued the 1770641128 to Timothy Patrick Shannon on 2006-12-05.
As of what date were the details pertaining to Timothy Patrick Shannon last refreshed?
The information related to the Timothy Patrick Shannon, including its address, specialty, and other relevant details, was last updated on 2007-07-08.