MR. THOMAS G FREGOSO M.S. ATC NPI 1699861849

NPI Information

NPI: 1699861849
Provider Name: MR. THOMAS G FREGOSO, M.S. ATC
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
114 GILL COLISEUM
CORVALLIS, OR
ZIP 97331
Phone: (541) 737-4188
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MR. Thomas G Fregoso, M.S. ATC is a specialist in Corvallis, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Thomas G Fregoso, M.S. ATC NPI is 1699861849. 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:

114 GILL COLISEUM
CORVALLIS, OR
ZIP 97331-547
Phone: (541) 737-4188
Fax: (541) 737-0864

The enumeration date for this NPI number is 10/5/2006 and was last updated on 7/8/2007.

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	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		AT-AT-365996	OREGON	Yes

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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