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Individual

THOMAS BAREFOOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(034) 948-6525
Mailing address
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202-1702

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/11/2020
Last updated
05/13/2024
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