Provider Demographics
NPI:1013148550
Name:TIMOTHY H. TROEH, M D P S
Entity Type:Organization
Organization Name:TIMOTHY H. TROEH, M D P S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:H
Authorized Official - Last Name:TROEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-589-6982
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-0022
Mailing Address - Country:US
Mailing Address - Phone:360-538-0135
Mailing Address - Fax:360-533-3475
Practice Address - Street 1:205 9TH AVE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-1336
Practice Address - Country:US
Practice Address - Phone:360-589-6982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty