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THOMAS R. PALMER DPM LLC NPI 1316153018


NPI Information

NPI: 1316153018
Provider Name: THOMAS R. PALMER DPM LLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6108 NE GLISAN ST
PORTLAND, OR
ZIP 97213
Phone: (503) 255-8100
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THOMAS R. PALMER DPM LLC is a foot and ankle surgery podiatrist in Portland, OR. THOMAS R. PALMER DPM LLC NPI is 1316153018. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6108 NE GLISAN ST
PORTLAND, OR
ZIP 97213-864
Phone: (503) 255-8100
Fax: (503) 255-2728

The provider's authorized official is Thomas R Palmer .
The authorized official title is Owner and has the following contact phone number (503) 255-8100.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 4/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryDP00202OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1137490MEDICARE PINOREGON
24218040001MEDICARE NSCOREGON
3276146MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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