Individual
LEONIDIS TEP THAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14095 SW WALKER RD, APT 78, BEAVERTON, OR 97005-1018
(503) 862-8095
Mailing address
14095 SW WALKER RD APT 78, BEAVERTON, OR 97005-1069
(503) 862-8095
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
RTP10169807
OR
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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