Moline, Thomas David
Moline, Thomas David is an individual health care provider with primary practice located at 1627 Woods Ct , Hood River OR 97031-2915. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Moline, Thomas David can be contacted via phone (541) 386-9511.Contact Information
Primary practice address
1627 Woods Ct
Hood River OR 97031-2915
Phone: (541) 386-9511
Fax: (866) 860-8070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00007650 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 3649 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 03649 | Oregon |
Profile Details
| NPI number | 1407928344 |
|---|---|
| LBN Legal business name | Moline, Thomas David |
| Credentials | PT, MS, |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Mar 25th, 2016 - about 8 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 | 1407928344 | NPPES |
| Oregon | Other | 322858 | PROVIDENCE HEALTH PLAN |
| Oregon | Other | J5366-01 | PROVIDENCE HEALTH PLAN |
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