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TIMBERLINE REHABILITATION SERVICES PS NPI 1215218102


NPI Information

NPI: 1215218102
Provider Name: TIMBERLINE REHABILITATION SERVICES, PS

Doing Business As: TIMBERLINE PHYSICAL THERAPY, TIMBERLINE NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
920 NE 112TH AVENUE
SUITE 103
VANCOUVER, WA
ZIP 98684
Phone: (360) 567-2002
Get Directions

TIMBERLINE REHABILITATION SERVICES, PS is a neurology psychiatry neurology in Vancouver, WA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. TIMBERLINE REHABILITATION SERVICES, PS NPI is 1215218102. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Timberline Physical Therapy, Timberline Neurology.

The provider's business location address is:

920 NE 112TH AVENUE
SUITE 103
VANCOUVER, WA
ZIP 98684-104
Phone: (360) 567-2002
Fax: (360) 567-2005

The provider's authorized official is Zane A. Smith .
The authorized official title is M.p.t. and has the following contact phone number (360) 567-2002.

The enumeration date for this NPI number is 9/6/2011 and was last updated on 9/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyMD00043000WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H99310MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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