Individual
MR. CRAIG EVAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 SILVERTON RD NE STE B, SALEM, OR 97301-0100
(971) 283-4153
Mailing address
5523 WOODMILL DR SE, SALEM, OR 97306-1171
(503) 983-4506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
OR
Enumeration date
09/08/2022
Last updated
09/08/2022
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