Nik Thanasouk

NPI #1316618044 in Happy Valley, Oregon

Provider Information

NPI Number: 1316618044
Entity Type: Individual
Name: Nik Thanasouk
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 22, 2021
Last Updated: Sep 22, 2021

Practice Location

Address: 13636 SE CALLAHAN RD
City: Happy Valley
State: Oregon
ZIP Code: 97086-6022
Phone: (503) 317-1531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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