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Contact Information

EVAN L THILO, MD
3181 SW SAM JACKSON PARK RD # L579
PORTLAND, OR97239
 Phone: 503-494-8211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for EVAN L THILO · (Male)

NPI Number 1235557380
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2014
Last updated 08/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD.MD.60846738
Hospital affiliation(s)
  • TACOMA GENERAL ALLENMORE HOSPITAL - (Acute Care)
    315 S MLK JR WAY
    TACOMA, WA 98415
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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