Individual
MARK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1925 NE STUCKI AVE, HILLSBORO, OR 97006-6945
(503) 906-5019
Mailing address
23555 NE HIGHWAY 240, NEWBERG, OR 97132-7304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3244
OR
Other
Enumeration date
01/27/2016
Last updated
03/09/2022
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