Timothy S Cleary (NPI# 1215933411, PAC ID# 1254306814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215933411 |
| PAC ID by PECOS | 1254306814 |
| Professional Enrollment ID | I20040908000263 |
| Full Name | Timothy S Cleary |
| Address |
11790 Sw Barnes Rd Suite 120 Portland OR 97225-5938 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11790 Sw Barnes Rd, Suite 120, Portland, OR 97225-5938 | ||
| 4805 Neglisan St, Portland, OR 97213-2933 | 5032151111 | PROVIDENCE HEALTH AND SERVICES-OREGON |
| Street Address |
11790 SW BARNES RD SUITE 120 |
| City | PORTLAND |
| State | OR |
| Zip | 97225-5938 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna Rider Hanson | Physician Assistant | Gerald B Rich Md PC | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5935 |
| Mariah Louise Franclemont | Physician Assistant | Gerald B Rich Md PC | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5935 |
| Amanda Do Huang | Physician Assistant | Gerald B Rich Md PC | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5935 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn L Finseth | Chiropractic | 4850 Sw Scholls Ferry Rd, Suite 205, Portland, OR 97225-1692 | |
| Ayla Jade Himmelsbach | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Mary A Domm | Chiropractic | 8550 Sw Apple Way, Portland, OR 97225-1772 | |
| David J Mcbride | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Jeffrey E Devine | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Christine Rose Adriano Walty | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Ronald E Pacheco | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Barry D Shulak | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Robert D Peek | Optometry | 5045 Sw 77th Ave, Portland, OR 97225-1812 | |
| William F Mcbride | Family Medicine | 4475 Sw Scholls Ferry Rd, Suite 150, Portland, OR 97225-1957 | |
| Find all physicians in zip 97225 | |||
| City | PORTLAND |
| Zip Code | 97225 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PORTLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy S Cleary.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.