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Individual

DR. THOMAS F SCHRATTENHOLZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1130 NW 22ND AVE STE 345, PORTLAND, OR 97210-2978
(503) 413-7513
(503) 413-7503
Mailing address
1130 NW 22ND AVE STE 345, PORTLAND, OR 97210-2978
(503) 413-7513
(503) 413-7503

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD25109
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD25109
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277899
OR
05
8416463
WA
01
P00199980
RR MEDICARE
OR
Enumeration date
04/18/2006
Last updated
04/08/2009
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