NPI

Timothy Mark Adrian

NPI 1376341974

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
CADC 1, CRM
Type
Individual
Enumeration date
2025-03-07
Last updated
2025-03-07

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Specialties

Licenses

License OR
23-09-10871

Location

Practice location
14935 SE 82nd Dr
City
Clackamas OR
Postal code
97015-9624
Phone
(971) 400-6568

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Clackamas, OR. 2,434 records in the public file.

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