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MR. TIMOTHY RYAN BEALS D.O. NPI 1437576410


NPI Information

NPI: 1437576410
Provider Name: MR. TIMOTHY RYAN BEALS, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: OREGON SPORTS MEDICINE ASSOCIATES

PECOS Registration: Yes

Address:
7300 SW CHILDS RD
#B
TIGARD, OR
ZIP 97224
Phone: (503) 692-8700
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MR. Timothy Ryan Beals, D.O. is a general practice in Tigard, OR with 10 years of experience. MR. Timothy Ryan Beals, D.O. NPI is 1437576410. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2014

The provider's business location address is:

7300 SW CHILDS RD
#B
TIGARD, OR
ZIP 97224
Phone: (503) 692-8700
Fax: (503) 692-8710

The NPI 1437576410 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 8/27/2020.


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
1208D00000XGeneral Practice167652OREGONYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.