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Individual

THOMAS LORISH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9155 SW BARNES RD, #440, PORTLAND, OR 97225-6625
(503) 216-7145
(503) 216-4071
Mailing address
PO BOX 821350, VANCOUVER, WA 98682-0030
(503) 283-5220
(503) 283-9527

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD16239
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094672
OR
05
1060391
WA
Enumeration date
12/09/2005
Last updated
07/08/2007
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