Provider Demographics
NPI:1659608149
Name:MARCH, TIMOTHY BEAU (DC)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:BEAU
Last Name:MARCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9964 WAGNER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-7804
Mailing Address - Country:US
Mailing Address - Phone:541-535-3202
Mailing Address - Fax:541-535-6573
Practice Address - Street 1:108 E HERSEY ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1363
Practice Address - Country:US
Practice Address - Phone:541-482-2021
Practice Address - Fax:541-535-6573
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3953111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR283282153Medicare PIN