Individual
DR. RYAN M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, FACO
Contact information
Practice address
329 NE HOOD AVE, GRESHAM, OR 97030-7449
(503) 491-0388
Mailing address
13203 SE 172ND AVE, SUITE 166 BOX 280, HAPPY VALLEY, OR 97086-8737
(503) 491-0388
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
27-3110
OR
111NX0800X
Orthopedic Chiropractor
4394
CO
111NX0800X
Orthopedic Chiropractor
7912009-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202562300
U.S. DEPT OF LABOR
OR
Enumeration date
05/31/2006
Last updated
01/25/2017
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