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Contact Information

LEONIDIS T THAPE
14095 SW WALKER RD
APT 78
BEAVERTON, OR97005-1018
 Phone: 503-862-8095
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Care

2279G1100X
Indicates primary specialty

NPI Profile & details for LEONIDIS T THAPE · (Male)

NPI # 1285091975
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2016
Last updated 01/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # RTP10169807
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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