Individual
MR. THOMAS MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
8050 SE 13TH AVE, PORTLAND, OR 97202-6694
(415) 823-1193
Mailing address
1504 SE ETON LN, PORTLAND, OR 97222-7429
(415) 823-1193
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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