Thomas, Gregory Alan

Thomas, Gregory Alan is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Cdrc-P, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Thomas, Gregory Alan can be contacted via phone (503) 494-1543.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Cdrc-P Portland OR 97239-3011
Fax: (503) 494-0714
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD17284 Oregon

Profile Details

NPI number 1275541716
LBN Legal business name Thomas, Gregory Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 18th, 2007 - about 18 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 1275541716 NPPES
Oregon MEDICAID 151334

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