Individual
GEORGE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
898 CORNELL ST, LAKE OSWEGO, OR 97034-4716
(503) 494-5986
Mailing address
898 CORNELL ST, LAKE OSWEGO, OR 97034-4716
(503) 494-5986
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A73843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A738430
—
CA
Enumeration date
07/07/2006
Last updated
05/21/2013
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