Tim a. Perez, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

200950089NP Issued in OR

Legal business name

TIM A. PEREZ, LLC

Doing business as

Valueris

Practice address

7105 SW Varns St
#270
Portland, OR 97223-8148

Phone

(503) 389-1500

Fax

(800) 974-5025

NPI assigned

Jan 4, 2016

Last updated

Jan 4, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Tim Perez, PMHNP-BC

Title

Owner

Phone

(503) 389-1500

Specialties & licenses 1

Addresses

Other names 1

• Valueris Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1053777235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 SW VARNS ST",
            "address_2": "#270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 SW VARNS ST",
            "address_2": "#270",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238148",
            "telephone_number": "503-389-1500",
            "fax_number": "800-974-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM A. PEREZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-389-1500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "200950089NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valueris",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nichole Brooke Tilsner
• Mark David Tilson, PH.D.
• Brittany Tilton
• Sheryl L. Tilton, LMT
• Pamelah Doris Tilus, M.S.
• Tim Foulke Ms, Pmhnp PC
• Timber Dental
• Timber Dental - Lombard (Timber Dental)
• Timber Dental Bethany
• Timber Dental Downtown LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.