Individual
THOMAS JAMES BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
24770 BOLTON HILL RD, VENETA, OR 97487-9703
(541) 870-1369
Mailing address
PO BOX 10375, EUGENE, OR 97440-2375
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000107891
OR
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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