Provider Demographics
NPI:1912989575
Name:QUINER, TIMOTHY ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ROBERT
Last Name:QUINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2400 NW KINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3900
Mailing Address - Country:US
Mailing Address - Phone:541-757-2400
Mailing Address - Fax:541-752-0931
Practice Address - Street 1:2400 NW KINGS BLVD
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3900
Practice Address - Country:US
Practice Address - Phone:541-757-2400
Practice Address - Fax:541-752-0931
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101051336207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine