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TIMOTHY ALLEN PEREZ RN, MN, PMHNP-BC
NPI 1760651442
Nurse Practitioner - Psychiatric/Mental Health in Tigard, OR

Active since February 26, 2008Opted out of Medicare · through Apr 1, 2028
7105 SW VARNS ST, SUITE 270, TIGARD, OR 97223(503) 389-1500(800) 974-5025 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Timothy Allen Perez Rn, Mn, Pmhnp-bc NPPES

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

TIMOTHY ALLEN PEREZ RN, MN, PMHNP-BC (NPI 1760651442) is an individual psychiatric/mental health provider in Tigard, Oregon, licensed in Oregon (200950089NP) and active in the NPI registry since February 2008. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1760651442
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTIMOTHY ALLEN PEREZCredential: RN, MN, PMHNP-BC
Location Address7105 SW VARNS ST, SUITE 270Tigard, OR 97223-8173
Mailing Address7105 Sw Varns St, Suite 270Tigard, OR 97223-8173 · (503) 389-1500 · Fax (800) 974-5025
Phone(503) 389-1500
Fax(800) 974-5025
Sole ProprietorNo
Enumeration DateFebruary 26, 2008
Last NPPES UpdateSeptember 11, 2015
✔ NPI 1760651442 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 · 200950089NP
7105 SW VARNS ST, Tigard, OR 97223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Timothy Allen Perez Rn, Mn, Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

TIM A. PEREZ, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
7105 SW VARNS ST, #270
PORTLAND, OR 97223
Washington County (503) 389-1500
EKATERINA SHAVLOVSKY
Health Maintenance Organization
7105 SW VARNS ST, SUITE 170
PORTLAND, OR 97223
Washington County (503) 278-7963
DR. EKATERINA SHAVLOVSKY ND
Naturopath
7105 SW VARNS ST, SUITE 170
PORTLAND, OR 97223
Washington County (503) 278-7963
AMY OUELLETTE
Social Worker
7105 SW VARNS ST
TIGARD, OR 97223
Washington County (503) 739-9348
PABST PSYCHIATRIC GROUP
Nurse Practitioner (Psychiatric/Mental Health)
7105 SW VARNS ST, SUITE 270
TIGARD, OR 97223
Washington County (503) 389-1500
KATHRYN VIRGINIA MAYO-HUDSON MSW, CSWA
Social Worker (Clinical)
7105 SW VARNS ST
TIGARD, OR 97223
Washington County (503) 806-9235

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 Timothy Perez's NPI number?

The NPI number for Timothy Perez is 1760651442. It was assigned to this individual provider in the NPPES registry on February 26, 2008.

Where is Timothy Perez located?

Timothy Perez practices at 7105 SW Varns St Suite 270, Tigard, OR 97223. The listed phone number is (503) 389-1500.

What is Timothy Perez's specialty?

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

Is Timothy Perez enrolled in Medicare?

No. Timothy Perez has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Timothy Perez accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Timothy Perez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Perez was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.