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Individual

THOMAS P HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2647 NE 33RD AVE, PORTLAND, OR 97212-3647
(503) 288-0083
(503) 288-7843
Mailing address
2647 NE 33RD AVE, PORTLAND, OR 97212-3647
(503) 288-0083
(503) 288-7843

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11293
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048194001
BLUE CROSS
OR
05
1026962
WA
05
260778
OR
Enumeration date
08/01/2006
Last updated
09/01/2011
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