Phipps, Thomas A
Phipps, Thomas A is an individual health care provider with primary practice located at 19260 Sw 65Th Ave Ste 280, Tualatin OR 97062-5708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Phipps, Thomas A can be contacted via phone (503) 692-2850.Contact Information
Primary practice address
19260 Sw 65Th Ave Ste 280
Tualatin OR 97062-5708
Phone: (503) 692-2850
Fax: (503) 692-4465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD14730 | Oregon |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 14730 | Oregon |
Profile Details
| NPI number | 1568467892 |
|---|---|
| LBN Legal business name | Phipps, Thomas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Nov 12th, 2021 - about 4 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 | 1568467892 | NPPES |
| Oregon | MEDICAID | 175778 |
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