Provider Demographics
NPI:1497776488
Name:TS BILLINGS, LLC
Entity Type:Organization
Organization Name:TS BILLINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:LONG
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:503-413-2101
Mailing Address - Street 1:PO BOX 23200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97281-3200
Mailing Address - Country:US
Mailing Address - Phone:503-968-4642
Mailing Address - Fax:
Practice Address - Street 1:501 N GRAHAM ST STE 130
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1675
Practice Address - Country:US
Practice Address - Phone:503-968-2885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORDB4947OtherRAILROAD MEDICARE
OR022762Medicaid
WA7123706Medicaid
ORDB4947OtherRAILROAD MEDICARE