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1104937762
THOMAS GEORGE WHITE
BEAVERTON, OR
NPI
1104937762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. THOMAS GEORGE WHITE
4855 SW WESTERN AVE
BEAVERTON, OR 97005-3460
Phone number: 503-520-4975
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Mailing Address
Mr. THOMAS GEORGE WHITE
8403 SW 56TH AVE
PORTLAND, OR 97219-3228
Phone number: 503-245-2630
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