National Provider Identifier Database

TIMOTHY P CONNALL MD PC
Plastic and Reconstructive Surgery


Contact Information

TIMOTHY P CONNALL MD PC
19801 SW 72ND AVE
SUITE 160
TUALATIN, OR97062-8351
Phone: 503-783-0544
Fax: 503-783-0545
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for TIMOTHY P CONNALL MD PC

NPI Number 1295187482
Legal business name
LBN
TIMOTHY P CONNALL MD PC
Authorized official TIMOTHY CONNALL - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/12/2016
Last updated 07/12/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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