TIMOTHY LINCOLN TRUSCHEL


Address: 1245 Edgewater St Nw, Salem, OR 97304-4049
Phone: 5035885816

TIMOTHY LINCOLN TRUSCHEL (NPI# 1164541439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164541439
Entity Type Individual
Full Name TIMOTHY LINCOLN TRUSCHEL
Credential M.D.
Practice Address 1245 Edgewater St Nw
Salem
OR 97304-4049
Practice Telephone 5035885816
Practice Fax Number 5035885803
Mailing Telephone 5035885816
Mailing Fax Number 5035885803
Enumeration Date 2007-03-28
Last Update Date 2020-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
00023577 WA Allopathic & Osteopathic Physicians
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
MD25888 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA FEDERAL TAX ID 20-8417623 01
WA UNIFIED BUSINESS ID 602-688-517 01

Office Location

Street Address 1245 EDGEWATER ST NW
City SALEM
State OR
Zip Code 97304-4049

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609957356 Susan Barnes Student in an Organized Health Care Education/Training Program 1245 Edgewater St Nw, Salem, OR 97304-4049 2006-10-18
1225671910 Summer Joy Valentine Student in an Organized Health Care Education/Training Program 1245 Edgewater St Nw, Salem, OR 97304-4049 2019-10-24
1346895075 Anne Elizabeth Wagner Counselor 1245 Edgewater St Nw, Salem, OR 97304-4049 2019-08-08
1992273718 Marc R Malone Psychologist 1245 Edgewater St Nw, Salem, OR 97304-4049 2018-11-09
1043704554 Erin Melissa Cox Counselor 1245 Edgewater St Nw, Salem, OR 97304-4049 2018-06-18
1386167732 Julie Marie O'connor Social Worker 1245 Edgewater St Nw, Salem, OR 97304-4049 2017-07-18
1366892408 Miranda Featherstone Counselor 1245 Edgewater St Nw, Salem, OR 97304-4049 2016-06-20
1518334028 Ryan Matthew Gunter Physician Assistant 1245 Edgewater St Nw, Salem, OR 97304-4049 2015-09-01
1073903977 Gerardo Jimenez Counselor 1245 Edgewater St Nw, Salem, OR 97304-4049 2015-01-29
1265822167 Ivan Gutierrez Counselor 1245 Edgewater St Nw, Salem, OR 97304-4049 2015-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114413010 Sam Mackenzie Lane Massage Therapist 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 2018-07-03
1144761131 Rachel E Carson Physical Therapist 1025 2nd St. Nw, West Salem, OR 97304 2017-03-10
1962951061 Lee Ann Nail Social Worker 3965 Gibson Rd Nw, Salem, OR 97304 2016-09-29
1619421591 Logan Walters Physical Therapist 1025 2nd St Nw, Salem, OR 97304 2016-08-09
1770941338 Tysandra Gillis Massage Therapist 859 Mule Deer St., Salem, OR 97304 2016-02-10
1144620295 Molly Rodden Nurse Practitioner 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 2014-08-26
1881942126 Cynthia Ruth Rettler Registered Nurse 1520 Plaza St Nw Ste 150, Salem, OR 97304 2012-08-16
1336401017 Trillium Family Services Community/Behavioral Health 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 2012-06-08
1033428198 Kathleen Ketelson Nurse Practitioner 560 Wallace Rd Nw Ste 140, Salem, OR 97304 2010-10-06
1922332535 Robert Scott Mcadam Social Worker 1245 Edgewater St. Nw, Salem, OR 97304 2009-09-29
Find all providers in zip 97304

Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881893071 Mamta Sapra Psychiatry & Neurology 1970 Roanoke Blvd, Salem, VA 24153-6404 2007-07-17
1134260367 Michael Ransley Miller Psychiatry & Neurology 1127 Oak St Se, Salem Psychiatric Facility, Salem, OR 97301-4020 2007-02-09
1902900137 Vimal Mohun Aga Psychiatry & Neurology 2600 Center St Ne, Salem, OR 97301 2006-09-08
1073577888 Brian Edwin Wood Psychiatry & Neurology 1902 Braeburn Dr Ste 130, Salem, VA 24153-7304 2006-04-17
1548224868 Kye Y Kim Psychiatry & Neurology 1970 Roanoke Blvd, Salem, VA 24153-6404 2006-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760674071 Geriatric Psychiatry Associates Northwest, P.C. Psychiatry & Neurology 1231 Ne Mlk Jr Blvd, #611, Portland, OR 97232-2073 2007-08-10
1669608402 Julie Anne Cohn Psychiatry & Neurology 2222 Nw Lovejoy St, Portland, OR 97210-3033 2009-06-08
1609967082 Michael Steven Rappaport Psychiatry & Neurology 998 Library Ct, Oregon City, OR 97045-4041 2006-09-28
1356459978 Sahana Misra Psychiatry & Neurology 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2006-08-25
1023121860 Linda Ganzini Psychiatry & Neurology 3710 Sw Us Veterans Hospital Rd, Mental Health Division, P3mhdc, Portland, OR 97239-2964 2006-08-16
1366450801 Kevin Ray Smith Psychiatry & Neurology 3181 Sw Sam Jackson Park Rd, Up, Portland, OR 97239-3011 2006-08-03
1003842832 David Morrison Douglas Psychiatry & Neurology 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2006-06-23

Competitor

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City SALEM
Zip Code 97304

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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