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
Phone: (503) 413-5725
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114337466 | NPPES |
Washington | MEDICAID | 1114337466 |
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