Provider Demographics
NPI:1457522765
Name:MURBACH, TIMOTHY SEAN (ND)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:SEAN
Last Name:MURBACH
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 WINDGATE ST S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5638
Mailing Address - Country:US
Mailing Address - Phone:503-383-1256
Mailing Address - Fax:503-383-1257
Practice Address - Street 1:370 LIBERTY ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3510
Practice Address - Country:US
Practice Address - Phone:503-383-1256
Practice Address - Fax:503-383-1257
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1437175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath