Individual
TOMAS STEWART STILES MCCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT CSCS
Contact information
Practice address
120 N EVEREST RD STE C, NEWBERG, OR 97132-2116
(503) 538-8952
(503) 537-2027
Mailing address
120 N EVEREST RD STE C, NEWBERG, OR 97132-2116
(503) 538-8952
(503) 537-2027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3447
OR
225100000X
Physical Therapist
8711
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004583013
BLUE CROSS
OR
Enumeration date
02/22/2006
Last updated
08/16/2013
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