Irby, Thomas Wade
Irby, Thomas Wade is an sole proprietor health care provider with primary practice located at 12250 Sw Canyon Rd , Beaverton OR 97005-2116. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Irby, Thomas Wade can be contacted via phone (503) 644-2101.Contact Information
Primary practice address
12250 Sw Canyon Rd
Beaverton OR 97005-2116
Phone: (503) 644-2101
Fax: (503) 626-8698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RP00005882 | New Mexico |
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH-0014022 | Oregon |
Profile Details
| NPI number | 1598989311 |
|---|---|
| LBN Legal business name | Irby, Thomas Wade |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Oct 23rd, 2015 - about 9 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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