Timothy Mather Brown
Dermatologist Dermatopathologist Procedural Dermatology
12612 Se Stark St
Portland
, Oregon 97233-1058
Timothy Mather Brown
Dermatologist Dermatopathologist Procedural Dermatology
12612 Se Stark St
Portland
, Oregon 97233-1058
(503) 257-8785
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Timothy Mather Brown
- 12612 Se Stark St
- Portland, OR
- Zip : 97233-1058
- Fax : (503) 257-8785
- Phone : (503) 257-6393
Second Address
- Timothy Mather Brown
- 12612 Se Stark St
- Portland, OR
- Zip : 97233-1058
- Fax : (503) 257-8785
- Phone : (503) 257-6393
Reviews
FAQs
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What type of doctor is Timothy Mather Brown
In what state does Timothy Mather Brown practice in?
Where is Timothy Mather Brown ’s practice located?
What is Timothy Mather Brown ’s gender?
Is Timothy Mather Brown a sole practitioner?
Is Timothy Mather Brown accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD12786 | OR |
| N | 207ND0900X | Dermatopathologist | MD12786 | OR |
| N | 207NS0135X | Procedural Dermatology | MD12786 | OR |
National Provider Identifier
| NPI | 1417058082 |
|---|---|
| Provider Name | Timothy Mather Brown |
| First Address | Portland, OR 97233-1058 |
| Second Address | Portland, OR 97233-1058 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 04/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 070008378 | MEDICARE RAILROAD (01) | |
| C91053 | (02) |
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.