Provider Demographics
NPI:1598020091
Name:CLAVERIA, TIMMI LINN (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMMI
Middle Name:LINN
Last Name:CLAVERIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8630 SW SCHOLLS FERRY RD # 114
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-6621
Mailing Address - Country:US
Mailing Address - Phone:503-740-5476
Mailing Address - Fax:
Practice Address - Street 1:2630 N PACIFIC HWY
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-9165
Practice Address - Country:US
Practice Address - Phone:503-981-2584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125.0609992084P0800X
ORMD1716712084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry