Flath, Thomas O

Flath, Thomas O is an sole proprietor health care provider with primary practice located at 501 N Graham St Suite 525, Portland OR 97227-1654. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Flath, Thomas O can be contacted via phone (503) 249-5454.

Contact Information

Primary practice address
501 N Graham St Suite 525 Portland OR 97227-1654
Fax: (503) 249-5498
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD09254 Oregon

Profile Details

NPI number 1063407690
LBN Legal business name Flath, Thomas O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Jul 23rd, 2007 - about 19 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 1063407690 NPPES
Oregon MEDICAID 256412

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