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TIM CHARLES FOULKE PMHNP
NPI 1265572937
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since February 08, 2007
2015 NE 39TH AVE, PORTLAND, OR 97212(503) 422-3253(503) 281-0052 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tim Charles Foulke Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM CHARLES FOULKE PMHNP (NPI 1265572937) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (080045508N6) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1265572937
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTIM CHARLES FOULKECredential: PMHNP
Location Address2015 NE 39TH AVEPortland, OR 97212-5305
Mailing Address2434 Ne 36th AvePortland, OR 97212-5241 · (503) 284-8372
Phone(503) 422-3253
Fax(503) 281-0052
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265572937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 080045508N6
2015 NE 39TH AVE, Portland, OR 97212
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Other Identifiers 1

Medicare UPINS52783OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL FREDERICK CHASE LCSW
Social Worker (Clinical)
2015 NE 39TH AVE
PORTLAND, OR 97212
Multnomah County (503) 475-3527
JONATHAN R PRUE LMT
Massage Therapist
2015 NE 39TH AVE
PORTLAND, OR 97212
Multnomah County (503) 753-2233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tim Foulke's NPI number?

The NPI number for Tim Foulke is 1265572937. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Tim Foulke located?

Tim Foulke practices at 2015 NE 39th Ave, Portland, OR 97212. The listed phone number is (503) 422-3253.

What is Tim Foulke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tim Foulke was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.