Knowles, Thomas B

Knowles, Thomas B is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Ste 500 , Portland OR 97210-2976. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Knowles, Thomas B can be contacted via phone (503) 413-5725.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Ste 500 Portland OR 97210-2976
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD198666 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD60946286 Washington

Profile Details

NPI number 1114337466
LBN Legal business name Knowles, Thomas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2014
Last updated Aug 27th, 2020 - about 5 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 1114337466 NPPES
Washington MEDICAID 1114337466

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