Individual
NICHOLAS RYAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10800 SW AVERY ST, TUALATIN, OR 97062-8585
(714) 215-2745
Mailing address
10800 SW AVERY ST, TUALATIN, OR 97062-8585
(714) 215-2745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-10139523
OR
Other
Enumeration date
06/17/2019
Last updated
09/16/2025
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