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Contact Information

THOMAS E IMIG, C.D.P.
1030 NE COUCH ST.
PORTLAND, OR97232
 Phone: 503-239-8400
 Fax: 503-239-8407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for THOMAS E IMIG · (Male)

NPI Number 1184017071
Status Active
Credentials C.D.P.
Entity Individual
Enumeration date 03/17/2015
Last updated 03/17/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 00004925
Hospital affiliation(s) Not Available
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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