Thomas Kowalski, IDHS

NPI #1407527369 in Portland, Oregon

Provider Information

NPI Number: 1407527369
Entity Type: Individual
Name: Thomas Kowalski, IDHS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: IDHS
Enumeration Date: Sep 21, 2021
Last Updated: Oct 18, 2021

Practice Location

Address: 6767 N BASIN AVE
City: Portland
State: Oregon
ZIP Code: 97217-3929
Phone: (503) 240-9343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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