Individual
TRISHA A THOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: BTE 119, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
160128
OR
363AM0700X
Medical Physician Assistant
Primary
PA160128
OR
Other
Enumeration date
11/26/2012
Last updated
12/30/2020
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