Thomas, Gary

Thomas, Gary is an individual health care provider with primary practice located at 73265 Confederated Way , Pendleton OR 97801-9099. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Thomas, Gary can be contacted via phone (541) 215-1963.

Contact Information

Primary practice address
73265 Confederated Way Pendleton OR 97801-9099
Phone: (541) 215-1963
Fax: (503) 231-1654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871614412
LBN Legal business name Thomas, Gary
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Sep 8th, 2014 - about 10 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 1871614412 NPPES
Oregon MEDICAID 126370

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