DR. Timothy J Bishop, D.D.S.

NPI #1992140560 in Portland, Oregon

Provider Information

NPI Number: 1992140560
Entity Type: Individual
Name: DR. Timothy J Bishop, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 8, 2013
Last Updated: Feb 22, 2016

Practice Location

Address: 3710 SW US VETERANS HOSPITAL RD
Address 2: P3-DENT
City: Portland
State: Oregon
ZIP Code: 97239-2964
Phone: (503) 220-8262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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