Individual
DR. LARRY RICHARD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE #622, PORTLAND, OR 97210-3033
(503) 229-8455
(503) 229-7028
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD08532
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023044
—
OR
05
—
2059956
—
WA
Enumeration date
06/30/2006
Last updated
09/07/2016
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