Individual
BINU THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13535 SW 72ND AVE STE 170, PORTLAND, OR 97223-8074
(971) 300-0654
Mailing address
13535 SW 72ND AVE STE 170, PORTLAND, OR 97223-8074
(971) 300-0654
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0999752
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10032993
OR
Other
Enumeration date
08/21/2023
Last updated
10/25/2024
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