Individual
MR. JAY HILTON THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
4311 NE TILLAMOOK STREET, PORTLAND, OR 97213-1315
(503) 774-3668
(503) 774-7247
Mailing address
4311 NE TILLAMOOK STREET, PORTLAND, OR 97213-1315
(503) 774-3668
(503) 774-7247
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-756055
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195602
—
OR
Enumeration date
09/09/2009
Last updated
09/09/2009
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