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Individual

THOMAS PANKAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2525 NW LOVEJOY ST, PORTLAND, OR 97210-2859
(206) 617-5982
Mailing address
1985 NW SAVIER ST # N206, PORTLAND, OR 97209-4303
(206) 617-5982
(206) 617-5982

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35135
CA
103TC0700X
Clinical Psychologist
Primary
3991
OR
174400000X
Specialist

Other

Enumeration date
08/17/2021
Last updated
08/07/2025
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