TIMOTHY OSTRANDER PA NPI 1427076751

NPI Information

NPI: 1427076751
Provider Name: TIMOTHY OSTRANDER, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2801 NW MERCY DRIVE
SUITE 330
ROSEBURG, OR
ZIP 97471
Phone: (541) 677-3600
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Timothy Ostrander, PA is a surgical physician assistant in Roseburg, OR. Timothy Ostrander, PA NPI is 1427076751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2801 NW MERCY DRIVE
SUITE 330
ROSEBURG, OR
ZIP 97471-348
Phone: (541) 677-3600
Fax: (541) 677-3601

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA00643	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R142982	MEDICARE PIN	OREGON
2	081526	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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