Individual
DR. THOMAS O FLATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
501 N GRAHAM ST, SUITE 525, PORTLAND, OR 97227-1654
(503) 249-5454
(503) 249-5498
Mailing address
501 N GRAHAM ST, SUITE 525, PORTLAND, OR 97227-1654
(503) 249-5454
(503) 249-5498
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD09254
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256412
—
OR
Enumeration date
09/20/2005
Last updated
07/23/2007
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