Individual
ALAN CRAIG THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9200 SE 91ST AVE STE 220, HAPPY VALLEY, OR 97086-3756
(503) 239-7030
Mailing address
9200 SE 91ST AVE, STE 220, HAPPY VALLEY, OR 97086-3756
(503) 239-7030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO177002
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500731364
—
OR
Enumeration date
05/02/2014
Last updated
07/21/2022
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