Individual
DR. THOMAS DEREK KOWALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 NE 48TH AVE STE 1100, HILLSBORO, OR 97124-5062
(503) 844-8219
(503) 844-8234
Mailing address
1200 NE 48TH AVE STE 1100, HILLSBORO, OR 97124-5062
(503) 844-8219
(503) 844-8234
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
171470
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD171470
LICENSE NUMBER
OR
Enumeration date
04/01/2011
Last updated
11/30/2021
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