THOMAS ALEXANDER POORE NPI 1871026286

NPI Information

NPI: 1871026286
Provider Name: THOMAS ALEXANDER POORE
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
9370 SW GREENBURG RD STE 102
PORTLAND, OR
ZIP 97223
Phone: (503) 244-7894
Get Directions

Thomas Alexander Poore is a podiatrist in Portland, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Thomas Alexander Poore NPI is 1871026286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9370 SW GREENBURG RD STE 102
PORTLAND, OR
ZIP 97223-428
Phone: (503) 244-7894
Fax: (503) 244-7814

The enumeration date for this NPI number is 4/4/2017 and was last updated on 6/3/2021.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	213E00000X	Podiatrist	DP202571	OREGON	Yes
2	213E00000X	Podiatrist	PO61122479	WASHINGTON	No
3	390200000X	Student in an Organized Health Care Education/Training Program			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500788080	MEDICAID	OREGON
2	2177764	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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