Timothy William Menza
Internist Infectious Disease
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
Timothy William Menza
Internist Infectious Disease
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
(503) 988-3015
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Timothy William Menza
- 619 Nw 6th Ave Fl 5
- Portland, OR
- Zip : 97209-3964
- Fax : (503) 988-3015
- Phone : (503) 988-7468
Second Address
- Timothy William Menza
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Phone : (503) 494-8311
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD190163 | OR |
| N | 111NI0900X | Internist | MD190163 | OR |
| Y | 207RI0200X | Infectious Disease | MD190163 | OR |
National Provider Identifier
| NPI | 1003105891 |
|---|---|
| Provider Name | Timothy William Menza |
| First Address | Portland, OR 97209-3964 |
| Second Address | Portland, OR 97239-3011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2011 |
| Last Update Date | 06/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MD190163 | OREGON MEDICAL BOARD (01) | 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.