Timothy Mather Brown in Portland - Procedural Dermatology
Timothy Mather Brown - NPI 1417058082
Timothy Mather Brown is a Procedural Dermatology in Portland, Oregon. Timothy Mather Brown practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Timothy Mather Brown is 1417058082. The last update date is 2013-10-04.
Timothy Mather Brown's current location address is 12612 Se Stark St, Portland, Oregon. You can contact this provider via phone number 5032576393 and fax number 5032578785. The mailing address for Timothy Mather Brown is 12612 Se Stark St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy Mather Brown |
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Address | 12612 Se Stark St, Portland, Oregon |
Phone Number | 5032576393 |
Fax Number | 5032578785 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1417058082 |
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Provider Enumeration Date | 2006-09-26 |
Last Updated Date | 2013-10-04 |
Provider Mailing Address Detail
Address | 12612 Se Stark St |
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City | Portland |
State | Oregon (OR) |
Post Code | 972331058 |
Phone Number | 5032576393 |
Fax Number | 5032578785 |
Provider's Primary Taxonomy Detail
Speciality | Procedural Dermatology |
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Taxonomy | 207Ns0135X |
Licence No | MD12786 |
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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70008378 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Timothy Mather Brown by the Centers for Medicare & Medicaid Services?
The Timothy Mather Brown has been assigned the NPI (National Provider Identifier) 1417058082. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Timothy Mather Brown is physically located?
The Timothy Mather Brown is situated at the following address: 12612 Se Stark St, Portland, OR 972331058.
What is Timothy Mather Brown's area of expertise and its corresponding taxonomy classification?
The Timothy Mather Brown's field of specialization is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their areas of practice.
When did Timothy Mather Brown receive its 1417058082 assignment?
The Timothy Mather Brown was assigned its 1417058082 on 2006-09-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Timothy Mather Brown's details last updated?
The information pertaining to the Timothy Mather Brown, including its address, specialty, and other details, was most recently updated on 2013-10-04.