Individual
THOMAS JAMES WEBER SCAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
891 23RD ST NE, SALEM, OR 97301-1793
(845) 430-3899
Mailing address
891 23RD ST NE, SALEM, OR 97301-1793
(845) 430-3899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA164485
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664156
—
OR
Enumeration date
02/21/2012
Last updated
10/21/2014
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