Organization
STEPHEN J. THOMAS MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE' A SANSOM (BOOKKEEPER)
(503) 642-2525
Entity
Organization
Contact information
Practice address
17600 SW ALEXANDER ST, ALOHA, OR 97006-4411
(503) 642-2525
(503) 649-9860
Mailing address
17600 SW ALEXANDER ST, ALOHA, OR 97006-4411
(503) 642-2525
(503) 649-9860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD08290
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0410790001
DMERC
OR
01
—
15684
DEPARTMENT OF L & I
WA
05
—
199430
—
OR
01
—
407002
BLUE CROSS
OR
01
—
C94536
UPIN
OR
Enumeration date
11/17/2009
Last updated
11/17/2009
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