Individual
DR. THOMAS BOAZ STASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7400
(503) 601-7311
Mailing address
1815 SW MARLOW AVE STE 110, PORTLAND, OR 97225-5186
(503) 292-0765
(503) 292-5208
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO156749
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671067
—
OR
Enumeration date
12/14/2006
Last updated
05/12/2022
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