Thomas, Geoffrey Lee

Thomas, Geoffrey Lee is an individual health care provider with primary practice located at 450 Tatone St , Boardman OR 97818-8076. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Thomas, Geoffrey Lee can be contacted via phone (541) 481-7212.

Contact Information

Primary practice address
450 Tatone St Boardman OR 97818-8076
Phone: (541) 481-7212
Fax: (541) 481-2020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2007005539 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2007005539 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X O-0593 Idaho

Profile Details

NPI number 1194901785
LBN Legal business name Thomas, Geoffrey Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2008
Last updated Jan 7th, 2020 - about 4 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 1194901785 NPPES
Other 2007005539 STATE MEDICAL LICENSE
Other O-0593 STATE MEDICAL LICENSE

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