Organization
THOMAS W. DODSON, MD PC
Active
Organization
THOMAS W. DODSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS WILLIAM DODSON M.D. (PRESIDENT)
(503) 228-0370
Entity
Organization
Contact information
Practice address
2187 SW MAIN ST, SUITE 102, PORTLAND, OR 97205-1123
(503) 228-0370
(503) 228-6690
Mailing address
2187 SW MAIN ST, SUITE 102, PORTLAND, OR 97205-1123
(503) 228-0370
(503) 228-6690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17869
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054515
—
OR
Enumeration date
10/19/2007
Last updated
10/19/2007
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