Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY JOHN FERNSTROM, D.O.
Active Sole ProprietorDR. TIMOTHY JOHN FERNSTROM, D.O. is a Internal Medicine healthcare provider located in PORTLAND, Oregon. NPI 1457552168 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · PORTLAND, OR
Registration Details
- NPI Number
- 1457552168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2007 (19.184757386619 yrs)
- Last Updated
- Jun 18, 2025
- Licenses
-
81905 (SC)DO26647 (OR)DO26647 (OR)DO26647 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034949000
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Critical Care Medicine
- Additional Specialty
- Pulmonary Disease
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. ELISE JAN FULSANG | MD | 1952305385 |
| TIMOTHY S CLEARY | M.D. | 1215933411 |
| ANDRIS ANTONISKIS | MD | 1528067972 |
| RHONDA C TIERNEY | M.D. | 1447250360 |
| THOMAS G GRAGNOLA | MD | 1144220765 |
| MARCIA M KERENSKY | MD | 1053311670 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.