Organization
THOMAS R. PALMER DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R PALMER DPM (OWNER)
(503) 255-8100
Entity
Organization
Contact information
Practice address
6108 NE GLISAN ST, PORTLAND, OR 97213-3864
(503) 255-8100
(503) 255-2728
Mailing address
6108 NE GLISAN ST, PORTLAND, OR 97213-3864
(503) 255-8100
(503) 255-2728
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00202
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276146
—
OR
Enumeration date
05/16/2007
Last updated
04/20/2010
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