Thomas Alexander Poore

NPI #1871026286 in Portland, Oregon

Provider Information

NPI Number: 1871026286
Entity Type: Individual
Name: Thomas Alexander Poore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Enumeration Date: Apr 4, 2017
Last Updated: Jun 3, 2021

Practice Location

Address: 9370 SW GREENBURG RD STE 102
City: Portland
State: Oregon
ZIP Code: 97223-5428
Phone: (503) 244-7894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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