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Individual

DR. THOMAS MILLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1000
(503) 681-1796
Mailing address
PO BOX 548, HILLSBORO, OR 97123-0548
(503) 681-1000
(503) 681-1796

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD11782
OR
2085R0202X
Diagnostic Radiology Physician
MD11782
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
045810
OR
Enumeration date
02/23/2007
Last updated
04/20/2010
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