Healthcare Provider Details

I. General information

NPI: 1285610642
Provider Name (Legal Business Name): TIMOTHY GEORGE LANGFORD PHARM.D., BCPS, CDE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8925 REEDER RD
KLAMATH FALLS OR
97603-2651
US

IV. Provider business mailing address

8925 REEDER RD
KLAMATH FALLS OR
97603-2651
US

V. Phone/Fax

Practice location:
  • Phone: 541-990-4829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH-0010620
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0010620
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: