Individual
DR. THOMAS JOSEPH VALVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 SW GAINES STREET, DOERNBECHER CHILDREN'S HOSPITAL, PORTLAND, OR 97239-2998
(503) 494-6513
(503) 418-5780
Mailing address
707 SW GAINES STREET, MAIL CODE:CDRCP, DOERNBECHER CHILDREN'S HOSPITAL, GENERAL PEDIATRICS, PORTLAND, OR 97239-2998
(503) 494-6513
(503) 418-5780
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-107015
IL
208000000X
Pediatrics Physician
036107015
IL
208000000X
Pediatrics Physician
49380-020
WI
208000000X
Pediatrics Physician
Primary
MD126268
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107015
—
IL
Enumeration date
03/10/2006
Last updated
12/09/2009
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