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Individual

THOMAS ALBERT PASSMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8617
Mailing address
7621 SE 36TH AVE, PORTLAND, OR 97202-8415

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO19425
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164973
OR
Enumeration date
08/03/2006
Last updated
02/04/2022
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