Individual
MR. MICHAEL JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Mailing address
13417 NE 91ST ST, VANCOUVER, WA 98682-3046
(360) 828-1194
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
CM60860813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM60860813
CERTIFIED MEDICAL ASSISTANT, WA STATE DOH (TECHNICIAN IN TAXONOMY)
WA
Enumeration date
12/12/2018
Last updated
12/12/2018
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