Thomas, Mark

Thomas, Mark is an sole proprietor health care provider with primary practice located at 501 N Graham St Ste 555 , Portland OR 97227-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Thomas, Mark can be contacted via phone (503) 288-7535.

Contact Information

Primary practice address
501 N Graham St Ste 555 Portland OR 97227-2007
Fax: (503) 288-7538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD192179 Oregon

Profile Details

NPI number 1720229545
LBN Legal business name Thomas, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2009
Last updated Nov 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720229545 NPPES
Oregon MEDICAID 500654902

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