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Contact Information

TIMOTHY C HODGES, MD
665 WINTER ST SE
SALEM, OR97301-3934
 Phone: 503-814-8272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for TIMOTHY C HODGES · (Male)

NPI Number 1457441339
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 05/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0428604
  • MO License # 113383
  • OR License # MD201655
  • KS Medicaid 100289250E
  • MO Medicaid 208714832
  • MO Other P00153164 R R MEDICARE
Hospital affiliation(s)
  • SALEM HOSPITAL - (Acute Care)
    890 OAK STREET, SE
    SALEM, OR 97301
  • WEST VALLEY HOSPITAL - (Critical Access)
    525 SE WASHINGTON STREET
    DALLAS, OR 97338
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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