Kowalik, Thomas Derek

Kowalik, Thomas Derek is an individual health care provider with primary practice located at 1200 Ne 48Th Ave Ste 1100 , Hillsboro OR 97124-5062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Kowalik, Thomas Derek can be contacted via phone (503) 844-8219.

Contact Information

Primary practice address
1200 Ne 48Th Ave Ste 1100 Hillsboro OR 97124-5062
Phone: (503) 844-8219
Fax: (503) 844-8234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 171470 Oregon

Profile Details

NPI number 1023307899
LBN Legal business name Kowalik, Thomas Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2011
Last updated Nov 30th, 2021 - about 3 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 1023307899 NPPES
Oregon Other MD171470 LICENSE NUMBER

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