Thiesing, John Tyler

Thiesing, John Tyler is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Thiesing, John Tyler can be contacted via phone (503) 216-4830.

Contact Information

Primary practice address
9205 Sw Barnes Rd Portland OR 97225-6603
Phone: (503) 216-4830
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 27230 Oregon
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD27230 Oregon

Profile Details

NPI number 1225104599
LBN Legal business name Thiesing, John Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Oct 14th, 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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