Timothy M McNichol
Timothy M McNichol is a Case Manager/Care Coordinator in Portland, Oregon. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1212 SW Clay St Apt 711Portland, OR 97201-7827
Phone: (503) 238-5203
Fax: (503) 238-5202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 149020101 (IL) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1861790446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 7, 2011 |
| Last updated in NPPES | March 13, 2018 |
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