Individual
DR. KATHY LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
650 NE HOLLADAY ST STE 1600, PORTLAND, OR 97232-2035
(503) 860-0042
Mailing address
650 NE HOLLADAY ST STE 1600, PORTLAND, OR 97232-2035
(503) 860-0042
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3634
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855306
—
AZ
Enumeration date
04/03/2006
Last updated
12/30/2024
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