Eubanks, Thomas Richard

Eubanks, Thomas Richard is an individual health care provider with primary practice located at 9200 Se 91St Ave Ste 320, Portland OR 97086-6756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eubanks, Thomas Richard can be contacted via phone (503) 353-3005.

Contact Information

Primary practice address
9200 Se 91St Ave Ste 320 Portland OR 97086-6756
Phone: (503) 353-3005
Fax: (503) 546-3201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X DO23077 Oregon

Profile Details

NPI number 1730274168
LBN Legal business name Eubanks, Thomas Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jun 8th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730274168 NPPES
Oregon MEDICAID 287443
Oregon Other 858363002

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