Individual
MR. THOMAS HOLDER BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
2460 SE TAMARACK AVE, PORTLAND, OR 97214-5453
(419) 509-2057
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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