Madison, Thomas Richard

Madison, Thomas Richard is an sole proprietor health care provider with primary practice located at 1020 Ne 2Nd Ave Suite 300, Portland OR 97232-2064. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Madison, Thomas Richard can be contacted via phone (503) 230-7978.

Contact Information

Primary practice address
1020 Ne 2Nd Ave Suite 300 Portland OR 97232-2064
Phone: (503) 230-7978
Fax: (503) 230-0232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D6647 Oregon

Profile Details

NPI number 1932213949
LBN Legal business name Madison, Thomas Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 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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