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NPI Code Detail

MEDICARE: TS BILLINGS, LLC

MEDICARE: TS BILLINGS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0127XTrauma Surgery Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DB4947OTHERORRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497776488
Entity Type Code : Organization
Provider Name (Legal Business Name) : TS BILLINGS, LLC
Provider Business Mailing Address
First Line : 501 N GRAHAM ST STE 275
Second Line :
City : PORTLAND
State : OR
Zip : 97227-2012
Country : US
Telephone Number : 503-528-0704
Fax Number : 503-528-0704
Provider Business Practice Location Address
First Line : 2801 N GANTENBEIN AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1623
Country : US
Telephone Number : 503-528-0704
Fax Number : 503-528-0704
Authorized Official
Title or Position : MANAGER
Name : JANECE HERZOG
Credential :
Telephone Number : 503-528-0704
Provider Enumeration Date : 07/22/2006
Last Update Date : 12/05/2025

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Directions to “TS BILLINGS, LLC ” Practice Location

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