Provider Demographics
NPI:1265927388
Name:MCCORD, TIMOTHY JARROD (DPM)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JARROD
Last Name:MCCORD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3401 RUCKER AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4281
Mailing Address - Country:US
Mailing Address - Phone:425-259-3757
Mailing Address - Fax:425-259-6565
Practice Address - Street 1:3401 RUCKER AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4281
Practice Address - Country:US
Practice Address - Phone:425-259-3757
Practice Address - Fax:425-259-6565
Is Sole Proprietor?:No
Enumeration Date:2018-06-30
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61143444213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery