Dr. Timothy P Janzen
Family Doctor
10803 Se Cherry Blossom Dr
Portland
, Oregon 97216-3107
Dr. Timothy P Janzen
Family Doctor
10803 Se Cherry Blossom Dr
Portland
, Oregon 97216-3107
(503) 261-7249
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Timothy P Janzen
- 10803 Se Cherry Blossom Dr
- Portland, OR
- Zip : 97216-3107
- Fax : (503) 261-7249
- Phone : (503) 261-7200
Second Address
- Dr. Timothy P Janzen
- 10803 Se Cherry Blossom Dr
- Portland, OR
- Zip : 97216-3107
- Fax : (503) 261-7249
- Phone : (503) 261-7200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD16918 | OR |
National Provider Identifier
| NPI | 1003845447 |
|---|---|
| Provider Name | Dr. Timothy P Janzen |
| First Address | Portland, OR 97216-3107 |
| Second Address | Portland, OR 97216-3107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003350006 | BC/BS (01) | OR |
| 011549 | (05) | OR |
| 430120810002 | PACIFICARE (01) | OR |
| E68342 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.