Individual
DR. THOMAS RICHARD EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9200 SE 91ST AVE, STE 320, PORTLAND, OR 97086-6756
(503) 353-3005
(503) 546-3201
Mailing address
9200 SE 91ST AVE, STE 320, PORTLAND, OR 97086-6756
(503) 353-3005
(503) 546-3201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO23077
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287443
—
OR
01
—
858363002
REGENCE BC/BS OR
OR
Enumeration date
10/03/2006
Last updated
06/08/2011
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