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1114584331
TIMOTHY MICHAEL BAUMGARTE
REDMOND, OR
NPI
1114584331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201903853NP-PP)
Enumeration Date
2019-05-22
Last Update Date
2020-05-29
Business Address
TIMOTHY MICHAEL BAUMGARTE
211 NW LARCH AVE
REDMOND, OR 97756-1357
Phone number: 541-548-2164
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Mailing Address
TIMOTHY MICHAEL BAUMGARTE
2262 NE BARON CT
BEND, OR 97701-6606
Phone number:
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