TIMMOTHY PAUL THOMAS

PORTLAND, OR
NPI1184552887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2026-05-12
Last Update Date2026-05-12
Business Address
TIMMOTHY PAUL THOMAS
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-747-6121
Mailing Address
TIMMOTHY PAUL THOMAS
211 NE 18TH AVE
PORTLAND, OR 97232-2822
Phone number: 971-747-6121