Thanasouk, Nik

Thanasouk, Nik is an sole proprietor health care provider with primary practice located at 13636 Se Callahan Rd , Happy Valley OR 97086-6022. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Thanasouk, Nik can be contacted via phone (503) 317-1531.

Contact Information

Primary practice address
13636 Se Callahan Rd Happy Valley OR 97086-6022
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1316618044
LBN Legal business name Thanasouk, Nik
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2021
Last updated Sep 22nd, 2021 - about 5 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.

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