Individual
MR. PAUL NORMAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11790 SW BARNES RD BLDG A, SUITE 140, PORTLAND, OR 97225-5934
(503) 643-2100
(503) 643-7300
Mailing address
11790 SW BARNES RD BLDG 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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021993005
BLUE CROSS
OR
05
—
054499
—
OR
01
—
301242
PROVIDENCE HEALTH PLAN
OR
01
—
93112982997006A004
TRI WEST
—
Enumeration date
05/02/2006
Last updated
06/13/2008
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