IndividualActive
Brian Timm, PAC
NPI 1144555988 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1144555988
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA150327 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2222 Nw Lovejoy St
Suite 315
Portland, OR 97210-3033
Phone: (503) 226-6321
Fax: (503) 227-3422
Approximate (ZIP-level) locationGet directions
Mailing address
975 Se Sandy Blvd
Portland, OR 97214-1308
Registry dates
- Enumerated
- 2009-10-13
- Last updated
- 2010-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.