Individual
THOMAS LUCIEN JEANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
800 NE OREGON ST STE 930, PORTLAND, OR 97232-2187
(971) 673-1222
Mailing address
800 NE OREGON ST STE 930, PORTLAND, OR 97232-2187
(971) 673-1222
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD171521
OR
Other
Enumeration date
03/31/2012
Last updated
05/10/2021
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