Individual
THOMAS FREDERICK SYLTEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
2837 NE 32ND PL, PORTLAND, OR 97212-3629
(503) 288-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12183
OR
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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