Dr Timothy Gene Irving, DC, LMT is a
Massage Therapist based in Portland, Oregon. Dr Timothy Gene Irving is licensed to practice in Oregon (license number 10250) and his current practice location is
819 Se Morrison St Ste 215, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 866-9739.
NPI number for Dr Timothy Gene Irving is 1689655458 and his current mailing address is 7704 Se Madison St, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689655458.
Healthcare Provider's Profile
| Full Name | Dr Timothy Gene Irving |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 819 Se Morrison St Ste 215, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1689655458
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 01/19/2013
Medical Identifiers
Medical identifiers for Dr Timothy Gene Irving such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689655458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3622 (Oregon) | Secondary |
| 225700000X | Massage Therapist | 10250 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Gene Irving is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Timothy Gene Irving, DC, LMT
7704 Se Madison St,
Portland, OR 97215-3017
Ph: (503) 866-9739 | Dr Timothy Gene Irving, DC, LMT
819 Se Morrison St Ste 215,
Portland, OR 97214-6317
Ph: (503) 866-9739 |
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