NPI | 1639629801 |
---|---|
Other Name | TIMBERLINE |
Entity Type | Organization |
Authorized Contact | KRISTI I LEE Senior Director Revenue Cycle 844-969-0686 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2016-10-11 |
Last Update Date | 2023-12-28 |