Individual
DR. THOMAS G WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD152492
OR
207RR0500X
Rheumatology Physician
MD152492
OR
208M00000X
Hospitalist Physician
MD152492
OR
208M00000X
Hospitalist Physician
MD60063843
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500631982
—
OR
01
—
P00924585
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
08/31/2006
Last updated
10/22/2025
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