Timber Hart, L.AC
Individual provider Active NPI Acupuncturist · Talent, OR
NPI 1124372800 · NPPES record last updated Nov 2, 2012
Key facts
- NPI
- 1124372800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC159888 (OR)
- Practice address
- 9964 Wagner Creek Rd
Talent, OR 97540-7804 - Phone
- (541) 535-3202
- Fax
- (541) 535-6573
- NPI assigned
- Nov 2, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC159888 | OR | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC159888 | OR | Yes |
Addresses
Primary practice location
9964 Wagner Creek Rd
Talent, OR 97540-7804
Mailing address
9964 Wagner Creek Rd
Talent, OR 97540-7804
Phone (541) 535-3202
Other providers in Talent, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.