Timothy Floyd Pfankuch, N.D.

Primary specialty

NaturopathTaxonomy code 175F00000X

License

3096 Issued in OR

Practice address

1975 NW 167TH PL Ste 100-18
Beaverton, OR 97006-4908

Phone

(503) 531-9355

Fax

(503) 629-8933

NPI assigned

Nov 8, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1487196598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100-18",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "503-531-9355",
            "fax_number": "503-629-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 NW 167TH PL STE 100-18",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064908",
            "telephone_number": "503-531-9355",
            "fax_number": "503-629-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFANKUCH",
        "first_name": "TIMOTHY",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF NATUROPATHIC MEDICINE",
            "identifier": "3096",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Lucinda Peterson, RDH, OMT
• Sharon Rose Peterson, MD
• Caitlyn Petrini
• Kimberly Ann Petros
• Martin Petrovic, DC
• PFC Billing
• Chad T Pfefer, M.D.
• Kenzi Pfeiffer
• Annie T Pham, D.M.D.
• Bichson Pham, D.O.

• Naturopath in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Naturopath in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.