Individual
DR. THOMAS PAUL HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10373 NE HANCOCK ST, #112, PORTLAND, OR 97220-3873
(503) 254-2808
(503) 254-2867
Mailing address
10373 NE HANCOCK ST, #112, PORTLAND, OR 97220-3873
(503) 254-2808
(503) 254-2867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11446
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231241
—
OR
Enumeration date
01/30/2006
Last updated
03/06/2012
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