Individual
DR. THOMAS HARRISON SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
338 HAWTHORNE AVE NE, SALEM, OR 97301-4607
(503) 585-6700
Mailing address
338 HAWTHORNE AVE NE, SALEM, OR 97301-4607
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
61168507
WA
Other
Enumeration date
06/23/2021
Last updated
01/23/2023
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