Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy M Bak, PA

Individual provider Physician Assistant · NPI 1760039051

Timothy M Bak, PA is a Physician Assistant in The Dalles, Oregon. Qualified in 2019, 7 years ago. Practices with Mid-Columbia Medical Center, a 94-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

551 Lone Pine Blvd
The Dalles, OR 97058-9403
Phone: (541) 296-7724
Fax: (541) 296-7605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Delta Waters Rd Ste 107, Medford, OR 97504-9114 — (541) 858-2515

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1760039051
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 21, 2019
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mid-Columbia Medical Center — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in The Dalles