Timothy Allen Speck, O.D.
NPI #1093067324 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1093067324
- Entity Type
- Individual
- Name
- Timothy Allen Speck, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 10, 2012
- Last Updated
- Oct 8, 2015
Practice Location
- Address
- 2144 HAWTHORNE ST
- Address 2
- APT 56
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-1749
- Phone
- (217) 416-9452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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