TIMOTHY ALLEN PEREZ RN MN PMHNP-BC NPI 1760651442

NPI Information

NPI: 1760651442
Provider Name: TIMOTHY ALLEN PEREZ, RN, MN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
7105 SW VARNS ST
SUITE 270
TIGARD, OR
ZIP 97223
Phone: (503) 389-1500
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Timothy Allen Perez, RN, MN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Tigard, OR. Timothy Allen Perez, RN, MN, PMHNP-BC NPI is 1760651442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7105 SW VARNS ST
SUITE 270
TIGARD, OR
ZIP 97223-173
Phone: (503) 389-1500
Fax: (800) 974-5025

The enumeration date for this NPI number is 2/26/2008 and was last updated on 9/11/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	200950089NP	OREGON	Yes

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

NPI Synchronization or Removal

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