Most Relevant Information
Provider Data
| NPI Number: | 1003338450 |
| Provider Name: | TIMOTHY FELLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/07/2017 |
| Last Updated: | 07/07/2017 |
Provider Practice Location
8801 LIPAN ST
THORNTON
CO
80260
Practice Location Phone/Fax
| Phone: | 3036573700 |
| Fax: |
Provider Mailing Location
11004 SW 30TH PL
PORTLAND
OR
97219
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |