| Doctor Name: | TIMOTHY LEE UNGER |
| NPI Number: | 1356707624 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | R.N. |
| License Number: | 091000453RN |
| Business Practice Address: | 3785 Se 317th Ave Troutdale, OR - 970609401 |
| Business Phone Number: | 5037898402 |
| Business Fax Number: | 5036631595 |
| Mailing Address: | Po Box 1041, BORING |
| State: | OR |
| Postal Code: | 970091041 |
| Phone Number: | 5037898402 |
| Fax Number: | 5036631585 |
| NPI Enumeration Date: | 01/02/2016 |
| NPI Last Update Date: | 01/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 091000453RN |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |