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Timothy Mcnichol
NPI 1861790446 · on the registry since 2011
Practice
- Address
- 1212 Sw Clay St Apt 711
Portland, OR 97201 - Phone
- (503) 238-5203
- Fax
- (503) 238-5202
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon