Gragnola, Thomas G
Gragnola, Thomas G is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Suite 255 , Portland OR 97225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gragnola, Thomas G can be contacted via phone (503) 902-1590.Contact Information
Primary practice address
9555 Sw Barnes Rd Suite 255
Portland OR 97225
Phone: (503) 902-1590
Fax: (503) 723-2862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD20503 | Oregon |
Profile Details
| NPI number | 1144220765 |
|---|---|
| LBN Legal business name | Gragnola, Thomas G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Dec 3rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144220765 | NPPES |
| Oregon | MEDICAID | 150544 |
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