TIM CHARLES FOULKE

PORTLAND, OR
NPI1265572937
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  080045508n6)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
-- TIM CHARLES FOULKE pmhnp
2015 NE 39TH AVE
PORTLAND, OR 97212-5305
Phone number: 503-422-3253
Mailing Address
-- TIM CHARLES FOULKE pmhnp
2434 NE 36TH AVE
PORTLAND, OR 97212-5241
Phone number: 503-284-8372
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