MR. Thomas George White

NPI #1104937762 in Beaverton, Oregon

Provider Information

NPI Number
1104937762
Entity Type
Individual
Name
MR. Thomas George White
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4855 SW WESTERN AVE
State
Oregon
ZIP Code
97005-3460
Phone
(503) 520-4975

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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