THOMAS EVERETTE IMIG

PORTLAND, OR
NPI1184017071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: WA  00004925)
Enumeration Date2015-03-17
Last Update Date2015-03-17
Business Address
Mr. THOMAS EVERETTE IMIG C.D.P.
1030 NE COUCH ST.
PORTLAND, OR 97232
Phone number: 503-239-8400
Mailing Address
Mr. THOMAS EVERETTE IMIG C.D.P.
1027 E. BURNSIDE ST.
PORTLAND, OR 97214
Phone number: 503-239-8400
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