Hodge, Thomas H

Hodge, Thomas H is an individual health care provider with primary practice located at 551 Lone Pine Blvd , The Dalles OR 97058-9403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Hodge, Thomas H can be contacted via phone (541) 296-7724.

Contact Information

Primary practice address
551 Lone Pine Blvd The Dalles OR 97058-9403
Fax: (541) 296-7605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD11240 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD11240 Oregon

Profile Details

NPI number 1982687133
LBN Legal business name Hodge, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 2nd, 2014 - about 11 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 1982687133 NPPES
Washington MEDICAID 1059708
Washington MEDICAID 261248

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