Organization
CENTER FOR OSTEOPATHIC INSIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS STASON D.O. (FOUNDER)
(917) 435-4879
Entity
Organization
Contact information
Practice address
4643 SW CONDOR AVE, PORTLAND, OR 97239
(917) 435-4879
Mailing address
4643 SW CONDOR AVE, PORTLAND, OR 97239
(917) 435-4879
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DO156749
OR
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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