Organization
INTEGRATIVE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL NORMAN THOMAS M.D. (PRESIDENT)
(503) 643-2100
Entity
Organization
Contact information
Practice address
11790 SW BARNES RD, SUITE 140, PORTLAND, OR 97225-5934
(503) 643-2100
(503) 643-7300
Mailing address
11790 SW BARNES RD, BLG. A, SUITE 140, PORTLAND, OR 97225-5934
(503) 643-2100
(503) 643-7300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD15689
OR
Other
Enumeration date
06/30/2008
Last updated
08/03/2010
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