Individual
THOMAS ALEXANDER POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9370 SW GREENBURG RD STE 102, PORTLAND, OR 97223-5428
(503) 244-7894
(503) 244-7814
Mailing address
16701 SE MCGILLIVRAY BLVD STE 220, VANCOUVER, WA 98683-3462
(360) 834-3707
(360) 834-3569
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP202571
OR
213E00000X
Podiatrist
PO61122479
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177764
—
WA
05
—
500788080
—
OR
Enumeration date
04/04/2017
Last updated
06/03/2021
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