Timothy Michael Baumgarte
Nurse Practitioner, Family in Redmond, OR. Individual provider (NPI-1).
NPI number1114584331
StatusActive
Last updated in NPPESMay 29, 2020
Details
- NPI
- 1114584331
- Entity type
- Individual (NPI-1)
- Name
- Timothy Michael Baumgarte
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2019
- Certification date
- May 29, 2020
- Last updated
- May 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 201903853NP-PP | OR | Yes |
Practice location
211 Nw Larch AveRedmond, OR 97756-1357
Phone 541-548-2164
Mailing address
2262 Ne Baron CtBend, OR 97701-6606
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